원발성간암(肝癌)과 아메바성간농양(肝膿瘍)의 진단에 관한 핵의학(核醫學)적 고찰

Radiogold Study in Primary Hepatoma and Amebic Liver Abscess: Is Their Distinction Possible?

  • 박용휘 (가톨릭의과대학 방사선과) ;
  • 김동집 (가톨릭의과대학 내과학교실)
  • Bahk, Yong-Whee (Department of Radiology, St. Mary's Hospital, Catholic Medical College) ;
  • Kim, Dong-Jip (Department of Internal Medicine, St. Mary's Hospital, Catholic Medical College)
  • 발행 : 1968.05.01

초록

Both primary hepatoma and amebic liver abscess are probably the most common space-occupying disease of the liver in Korea, and the importance of their accurate distinction can not be overemphasized. Radiogold hepatoscanning has been widely used at St. Mary's Hospital, and recently blood disappearance rate of colloidal $^{198}Au$ has been introduced in the study of hepatic ailments. A review of the literature revealed few previous publications concerning the differential features of the two conditions although some characteristic scan findings of each condition have been described. The present study is aimed at a critical review and analysis of various photoscan findings and blood disappearance rate determinations of colloidal $^{198}Au$ of 34 cases of primary hepatoma and 30 cases of amebic liver abscess. Among many scan manifestations, prominence of the uninvolved liver tissue, "hemispherical cold area," and splenic uptake are much more commonly encountered in primary hepatoma and the blood disappearance rate tends to be far more frequently delayed in primary hepatoma than in abscess providing at least a statistically useful basis of distinction of the two diseases.

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