Forty-one cases of RI lung accumulation were selected from 1536 cases among liver scintigraphy of
99mTc-Sn-colloid. The results of analysis of these cases are as follows:
1) The cases of lung accumulation caused by failure of preparing
99mTc-Sn-colloid were excluded. The lung accumulation in liver scintigraphy was able to be found only in
99mTc-Sn-colloid with large sized particle.
2) From several facts, it is not considered that
99mTc-colloid was taken into the lung in form of macroaggregation after injection.
3) The lung accumulation of
99mTc-colloid was not always detected in the cases with any liver disorder.
4) The great majority of cases with the lung accumulation were malignant tumor, the next was liver cirrhosis. When the patients were in the most severe condition,
99mTc-colloid apt to be revealed in the lung. In the cases of children, the marked accumulation of the lung was always observed.
5) The lung accumulation of
99mTc-Sn-colloid was also observed in many patients with splenomegaly without liver disease. It is not a phenomena from the result of decrease in hepatic blood flow or of portal hypertension, but it may be related with certain immunological chnge.
6) Most patients with the lung accumulation were in extremely severe condition and their survival was not so good. Therefore, this phenomena could refer to a indicator of poor prognosis.
7) The lung accumulation of RI colloid may be revealed when patients fall into extremely severe stage and pulmonary macrophages are stimulated. Its phenomena would be essentially caused by a mechanism that RI-colloid are phagocyted by pulmonary macrophages.
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