Assessment of Lymph Node Metastasis of the Stomach Cancer by Tc 99m Phytate Lymphoscintigraphy

$Tc^{99m}$ phytate를 이용한 위암의 임파절 영상

  • Yoo, Hyung-Sik (Department of Radiology, Yonsei University, College of Medicine) ;
  • Lee, Jong-Tae (Department of Radiology, Yonsei University, College of Medicine) ;
  • Park, Chang-Yun (Department of Radiology, Yonsei University, College of Medicine) ;
  • Min, Jin-Sik (Department of Surgery, Yonsei University, College of Medicine) ;
  • Kim, Choong-Bai (Department of Surgery, Yonsei University, College of Medicine)
  • 유형식 (연세대학교 의과대학 방사선과학교실) ;
  • 이종태 (연세대학교 의과대학 방사선과학교실) ;
  • 박창윤 (연세대학교 의과대학 방사선과학교실) ;
  • 민진식 (연세대학교 의과대학 외과학교실) ;
  • 김충배 (연세대학교 의과대학 외과학교실)
  • Published : 1985.11.30

Abstract

Prospective study of lymph node imaging of twenty stomach cancer cases with dissected lymph nodes being injected into the submucosa layer of stomach under surgical field was done. Total dose of 5 mci in 5 cc of volume was injected along the multiple sites of the lesser and greater curvature of stomach and collected lymph nodes within 2 hour of surgical time were placed under gamma camera and lymph node imagings were obtained. Pathological invasion of tumor and correlation of cold defect or hot uptake was compared each other. Tumor invasion of nodes revealed cold defect area which was correlated well with the pathological specimen. Correlation rate was 84.6%. We are planning to extend these procedures and trying endoscopic injection of positive imgaing agents such as Ga-73-3 Ig 2 alpha in future.

Keywords