원저 : 복강경담낭절제술에서 수술전 간담도신티그라피와 경구담낭조영술의 의의 ( The Role of Hepatobiliary Scintigraphy and Oral Cholecystography in Predicting the Performance of Laparoscopic Cholecystectomy ) () |
Author |
원경숙(Kyoung Sook Won),류진숙(Jin Sook Ryu),문대혁(Dae Hyuk Moon),양승오(Seoung Oh Yang),한동복(Dong Bok Han),박철민(Cheol Min Park),이문규(Moon Gyu Lee),이희경(Hee Kyung Lee),박광민(Kwang Min Park),이승규(Sung Gyu Lee), |
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Abstract |
131I-6β-iodomethyl-19-norcholesterol(NP-59) has an
advantage to assess adrenal dysfunction caused by
adrenal cortical disorders. The aim of this study is to
evaluate the clinical usefulness of NP-59 scintigraphy
in each adrenral disease. Ten patients who did eleven
NP-59 adrenal scintigraphies at Dong-A University
Hospital from March 1990 to December 1996 were selected
as the subject. Among the subject there were 5 cases of
Cushing's syndrome, 2 cases of incidentaloma, 1 case of
metastatic adrenal tumor, liver cirrhosis with
hirsutism and hypertension respectively. Among 5 case
of Cushing's syndrome, there were 2 cases of Cushing's
disease, 2 cases of adrenal adenoma and 1 case of
adrenal carcinoma. There are no disagreement between
clinical diagnosis and scan finding in Cushing's
syndrome. In 2 incidentaloma cases, even though one is
interpretated as a functioning tumor, both of 2 cases
could avoid unnecessary biopsy according to
scintigraphy result. One case of hirsutism, clinically
adrenal originated, revealed the normal scintigraphic
hirsutism was extra-adrenal origin. One case of
hypertension took the study to exclude the possibility
of primary aldosteronism. Normal suppression scan
finding revealed that primary aldosteronism did not
exist in this case. In conclusion, NP-59 scintigraphy
was very useful in diagnosis and differential diagnosis
of Cushing's syndrome and it could avoid unnecessary
biopsy in the incidental adrenal tumor. |
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Full text Article |
28502006.pdf
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