Incidental discovery of renal carcinoma based on liver visualization during Tc-99m MAA lung scan

Česká verzia

Authors: Otto Lang
Authors place of work: Klinika nukleární medicíny, 3. LF UK a FN Královské Vinohrady, Praha
Published in the journal: NuklMed 2012;1:34-35
Category:

Summary

A 73-year-old man with a history of diabetes and hypertension was admitted with a 1-day history of painful swelling of the left leg, but no dyspnea. He was referred for radionuclide venography/lung scan to exclude deep venous thrombosis. On the pulmonary images the liver could be clearly seen but no other organ was identified. This raised the suspicion for a cavoportal shunt. Renal carcinoma with extension into the right renal vein and the IVC superior to the renal vein was then confirmed on CT scan. The patient died before surgery could be performed.

Key words:
renal cancer, lung perfusion scintigraphy

Zdroje

1. Bartold K, Fancher M, Abghari R. Visualization of the left hepatic lobe during radioisotopic venography/lung imaging with technetium-99m MAA. Clin Nucl Med 1986;11:259-261

2. Desai AG, Park CH. Cavo-portal shunting in superior and inferior vena caval obstruction. Clin Nucl Med 1983;8:365-368

3. Marcus CS, Parker LS, Rose JG et al. Cullison RC, Grady PJ. Uptake of Tc-99m MAA by the liver during a thromboscintigram/lung scan. J Nucl Med 1983;24:36-38

4. Oster ZH, Atkins HL. Liver visualization following 99mTc-MAA (99mTcmacroaggregated albumin) venogram indicating obstruction of the distal inferior vena cava. Eur J Nucl Med 1985;10:183-184

5. Sonin AH, Mazer MJ, Powers TA. Obstruction of the inferior vena cava: a multiplemodality demonstration of causes, manifestations, and collateral pathways. RadioGraphics 1992;12:309-322

Štítky

Nuclear medicine Radiodiagnostics Radiotherapy

Článek Uncertain Lung Nodule

Článek Remarks to and drawings of lung anatomy

Článek Scintigraphy in patients with possible inflammation after joint replacement with prosthesis

Článek What can you see on the image?

Článok vyšiel v časopise

Nuclear Medicine

2012 Číslo 2

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