Giant esophageal hemangioma diagnosed by 99mTc-HSA-D scintigraphy following equivocal CT, MRI, and endoscopy
Mediastinal cavernous hemangioma is a rare lesion requiring diagnosis without invasive procedure due to the risk of hemorrhage, which can be massive and even fatal. Here we describe the successful diagnosis of such a lesion using technetium-99m diethylenetriamine penta-acetic acid human serum albumi...
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doaj-c745b3702ac84594bd2b387a251d77012021-03-27T04:26:34ZengElsevierRadiology Case Reports1930-04332021-05-0116510231027Giant esophageal hemangioma diagnosed by 99mTc-HSA-D scintigraphy following equivocal CT, MRI, and endoscopyElly Arizono, MD0Yu Tajima, MD, PhD1Mana Yoshimura, MD, PhD2Kazuhiro Saito, MD, PhD3Takao Itoi, MD, PhD4Department of Radiology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan; Corresponding author.Department of Radiology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, JapanDepartment of Radiology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, JapanDepartment of Radiology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, JapanDepartment of Gastroenterology, Hepatology, Tokyo Medical University, Shinjuku-ku, Tokyo, JapanMediastinal cavernous hemangioma is a rare lesion requiring diagnosis without invasive procedure due to the risk of hemorrhage, which can be massive and even fatal. Here we describe the successful diagnosis of such a lesion using technetium-99m diethylenetriamine penta-acetic acid human serum albumin (99mTc-HSA-D) scintigraphy. A 36-year-old female with a 3-week back pain underwent endoscopic ultrasonography, contrast-enhanced CT, and MRI dynamic study which together revealed a submucosal tumor of the esophagus; likely to be either hemangioma or lymphangioma. Because of poor or no enhancement, it was impossible to distinguish the nature of the lesion. However, using delayed blood-pool imaging of 99mTc-HSA-D (at 40 minutes postinjection), and the characteristic accumulation, the tumor was clearly identifiable as an esophageal hemangioma. This case shows 99mTc-HSA-D scintigraphy to be an effective noninvasive imaging method to capture the characteristic hemodynamics of hemangioma.http://www.sciencedirect.com/science/article/pii/S1930043321000881HemangiomaTechnetium-99m diethylenetriamine penta-acetic acid human serum albumin (99mTc-HSA-D)EsophagusLymphangioma |
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language |
English |
format |
Article |
sources |
DOAJ |
author |
Elly Arizono, MD Yu Tajima, MD, PhD Mana Yoshimura, MD, PhD Kazuhiro Saito, MD, PhD Takao Itoi, MD, PhD |
spellingShingle |
Elly Arizono, MD Yu Tajima, MD, PhD Mana Yoshimura, MD, PhD Kazuhiro Saito, MD, PhD Takao Itoi, MD, PhD Giant esophageal hemangioma diagnosed by 99mTc-HSA-D scintigraphy following equivocal CT, MRI, and endoscopy Radiology Case Reports Hemangioma Technetium-99m diethylenetriamine penta-acetic acid human serum albumin (99mTc-HSA-D) Esophagus Lymphangioma |
author_facet |
Elly Arizono, MD Yu Tajima, MD, PhD Mana Yoshimura, MD, PhD Kazuhiro Saito, MD, PhD Takao Itoi, MD, PhD |
author_sort |
Elly Arizono, MD |
title |
Giant esophageal hemangioma diagnosed by 99mTc-HSA-D scintigraphy following equivocal CT, MRI, and endoscopy |
title_short |
Giant esophageal hemangioma diagnosed by 99mTc-HSA-D scintigraphy following equivocal CT, MRI, and endoscopy |
title_full |
Giant esophageal hemangioma diagnosed by 99mTc-HSA-D scintigraphy following equivocal CT, MRI, and endoscopy |
title_fullStr |
Giant esophageal hemangioma diagnosed by 99mTc-HSA-D scintigraphy following equivocal CT, MRI, and endoscopy |
title_full_unstemmed |
Giant esophageal hemangioma diagnosed by 99mTc-HSA-D scintigraphy following equivocal CT, MRI, and endoscopy |
title_sort |
giant esophageal hemangioma diagnosed by 99mtc-hsa-d scintigraphy following equivocal ct, mri, and endoscopy |
publisher |
Elsevier |
series |
Radiology Case Reports |
issn |
1930-0433 |
publishDate |
2021-05-01 |
description |
Mediastinal cavernous hemangioma is a rare lesion requiring diagnosis without invasive procedure due to the risk of hemorrhage, which can be massive and even fatal. Here we describe the successful diagnosis of such a lesion using technetium-99m diethylenetriamine penta-acetic acid human serum albumin (99mTc-HSA-D) scintigraphy. A 36-year-old female with a 3-week back pain underwent endoscopic ultrasonography, contrast-enhanced CT, and MRI dynamic study which together revealed a submucosal tumor of the esophagus; likely to be either hemangioma or lymphangioma. Because of poor or no enhancement, it was impossible to distinguish the nature of the lesion. However, using delayed blood-pool imaging of 99mTc-HSA-D (at 40 minutes postinjection), and the characteristic accumulation, the tumor was clearly identifiable as an esophageal hemangioma. This case shows 99mTc-HSA-D scintigraphy to be an effective noninvasive imaging method to capture the characteristic hemodynamics of hemangioma. |
topic |
Hemangioma Technetium-99m diethylenetriamine penta-acetic acid human serum albumin (99mTc-HSA-D) Esophagus Lymphangioma |
url |
http://www.sciencedirect.com/science/article/pii/S1930043321000881 |
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