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A 43-year-old man, previously submitted to right hepatectomy, right hepatic artery chemoembolization, and surgical resection of liver lesions, with well-differentiated and moderately differentiated hepatocellular carcinoma (HCC) confirmed by histopathology, underwent cholescintigraphy with Tc diisopropyliminodiacetic acid (Tc-DISIDA) due to recurrent cholangitis. The scintigraphic images and the coregistered CT images showed radiotracer uptake in an area of biliary ectasia near the hepatic surface (which may be associated with recurrent cholangitis), in a hepatic nodule, and in multiple pulmonary metastases.


Cristina Emiko Ueda, Wilson André Ichiki, Mariana Ferraz de Campos Mazo Ruiz, Allan Oliveira Santos, Elba Cristina Sá de Camargo Etchebehere. 99mTc-DISIDA uptake in liver lesion and pulmonary metastases shown on SPECT/CT in a patient with hepatocellular carcinoma. Clinical nuclear medicine. 2014 Jan;39(1):74-6

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PMID: 23917780

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