篇名 | Liver Metastases Incidentally Found on Bone Scan in a Patient with Adenoid Cystic Carcinoma of the Lacrimal Gland |
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卷期 | 15:2 |
並列篇名 | 淚腺腺樣囊性上皮癌由骨掃描中發現肝轉移 |
作者 | 黃文盛 、 張立平 、 余之泳 、 高鴻偉 、 樊格明 |
頁次 | 107-110 |
關鍵字 | adenoid cystic carcinoma 、 99mTc-MDP 、 hepatic uptake 、 lacrimal gland 、 淚腺 、 腺樣囊性上皮癌 、 肝攝取 、 鎝-99m-MDP |
出刊日期 | 200206 |
這是一例淚腺腺樣囊性上皮癌由常規骨掃描中首次發見合併肝轉移的罕見病例。病人在接受骨掃描評估骨轉移同時,在其肝臟部位發現異常活性增加病位,由於肝臟並非此為症常見轉移位置,因此進一步接受放射線電腦斷層檢查,經評估後高度懷疑為轉移病位。病人最後接受肝臟穿刺切片檢查證實為一轉移性淚腺腺樣囊性上皮痕。
The case of adenoid cystic carcinoma of the lacrimal gland with hepatic metastases shown on bone scintigraphy had been rarely reported. We present a patient with adenoid cystic carcinoma of the left lacrimal gland whose bone scintigraphy demonstrated two foci of increased uptake in the liver in addition to abnormally increased uptake in the left orbit. The patient was further examined by abdominal computerized tomography and revealed a feature of liver metastatic lesion Histologic examination of the biopsy of hepatic lesions confirmed the presence of metastatic adenoid cystic carclnomla.