2003
DOI: 10.1007/bf02988531
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Accumulation of99mTc-PMT in renal metastasis of hepatocellular carcinoma

Abstract: We describe here a case in which 99mTc-Sn-N-pyridoxy-5-methyltryptophan (99mTc-PMT) scintigraphy was useful in diagnosing renal metastasis of hepatocellular carcinoma (HCC). A 62-year-old man who had undergone hepatectomy for HCC presented 6 years after initial diagnosis with left flank pain and was found on CT and MRI to have a tumor in the left kidney. Hepatobiliary scintigraphy using 99Tc-PMT was performed, and 99mTc-PMT accumulation was found in the tumor. Nephrectomy was performed and metastasis of HCC wa… Show more

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Cited by 3 publications
(3 citation statements)
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“…However, lipid-poor adenoma cannot be diagnosed by this procedure and both adenoma and metastatic HCC often show similar findings of early enhancement and washout. 99 Tc m pyridoxyl-5-methyl tryptophan hepatobiliary scintigraphy is useful for specifically diagnosing metastatic HCC but only when the tumour cells produce bile [15][16][17]. We estimate that the uptake of Gd-EOB-DTPA in any masses outside the liver is also a specific finding of metastatic lesions from HCC and that this finding is useful for diagnosing metastatic tumours from HCC, although its sensitivity is presumably low.…”
Section: Discussionmentioning
confidence: 90%
“…However, lipid-poor adenoma cannot be diagnosed by this procedure and both adenoma and metastatic HCC often show similar findings of early enhancement and washout. 99 Tc m pyridoxyl-5-methyl tryptophan hepatobiliary scintigraphy is useful for specifically diagnosing metastatic HCC but only when the tumour cells produce bile [15][16][17]. We estimate that the uptake of Gd-EOB-DTPA in any masses outside the liver is also a specific finding of metastatic lesions from HCC and that this finding is useful for diagnosing metastatic tumours from HCC, although its sensitivity is presumably low.…”
Section: Discussionmentioning
confidence: 90%
“…Primary tumors of the lungs, breasts, and gastrointestinal tract are the most common origins of renal metastasis; renal metastases from HCC are exceedingly rare. In a literature search using PubMed, we identified only six cases of renal metastasis from HCC [ 25 30 ]. Tumor markers such as α-fetoprotein and imaging findings may be helpful for diagnosis in these cases; tumor rupture was also observed in some cases.…”
Section: Discussionmentioning
confidence: 99%
“…There are a few case reports [27][28][29]. Isolated kidney metastasis may be treated with nephrectomy but the prognosis is very poor.…”
Section: Hepatitis B Virus Infection Is a Very Important Health Issuementioning
confidence: 99%