中國醫藥大學機構典藏 China Medical University Repository, Taiwan:Item 310903500/30224
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    題名: Unexpected complication of attempted epidural anaesthesia: Cauda equina syndrome
    作者: Liu, YC;Wu, RSC;Wong, CS
    貢獻者: 附設醫院麻醉部;China Med Coll Hosp, Dept Anaesthesiol, China Med Coll, Taichung, Taiwan;Tri Serv Gen Hosp, Taichung, Taiwan
    日期: 2003
    上傳時間: 2010-09-24 14:51:26 (UTC+8)
    出版者: AUSTRALIAN SOC ANAESTHETISTS
    摘要: Rationale and Objectives. The effectiveness of 18-fluoro-2-deoxyglucose (FDG) positron emission tomography (PET) and technetium-99m tetrofosmin (Tc-99m TF) single photon emission computed tomography (SPECT) of neck and chest was evaluated to detect metastatic lesions in well-differentiated thyroid carcinoma after nearly total thyroidectomy and radioiodine (I-131) treatment who present with elevated serum human thyroglobulin levels but negative I-131 whole body scan. Materials and Methods. Twenty-three patients with differentiated thyroid carcinoma who underwent nearly total thyroidectomy and I-131 treatments were included in this study. Results. All of the 23 patients had negative I-131 whole body scan and elevated human thyroglobulin levels under thyroid-stimulating hormone stimulation. Metastatic lesions were detected by FDG-PET in 20 patients, while Tc-99m TF SPECT revealed metastatic lesions in only 11 of the 20 patients. Both FDG-PET and Tc-99m TF SPECT failed to demonstrate miliary pulmonary metastases in two of the remaining three patients. The other patient did not show any lesion on FDG-PET, Tc-99m TF SPECT, chest computed tomography, or other imaging techniques. Conclusion. This study demonstrated that FDG-PET is more sensitive than Tc-99m TF SPECT to detect metastatic lesions in differentiated thyroid carcinoma with elevated human thyroglobulin but negative I-131 whole body scan. However, miliary pulmonary metastases could be missed by the both techniques.
    關聯: ANAESTHESIA AND INTENSIVE CARE 31(4):461-464
    顯示於類別:[台中附設醫院] 期刊論文

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