Role of indium-111 labelled platelet scintigraphy in the management of thrombocytopenic patients with malignant neoplasms

This study was done to investigate the role of indium-111 labelled platelet scintigraphy in the treatment of thrombocytopenia in patients with malignant neoplasms. The study involved 20 consecutive patients with thrombocytopenia associated with malignant neoplasms of hematological disorders and with...

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Veröffentlicht in:European journal of nuclear medicine 1998-03, Vol.25 (3), p.247-252
Hauptverfasser: ORIUCHI, N, KORKMAZ, M, KIM, E. E, DELPASSAND, E. S, WONG, F, WALLACE, S, PODOLOFF, D. A
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container_issue 3
container_start_page 247
container_title European journal of nuclear medicine
container_volume 25
creator ORIUCHI, N
KORKMAZ, M
KIM, E. E
DELPASSAND, E. S
WONG, F
WALLACE, S
PODOLOFF, D. A
description This study was done to investigate the role of indium-111 labelled platelet scintigraphy in the treatment of thrombocytopenia in patients with malignant neoplasms. The study involved 20 consecutive patients with thrombocytopenia associated with malignant neoplasms of hematological disorders and without evidence of underproduction of megakaryocytes due to chemotherapy or bone marrow infiltration by the malignancy. Splenic sequestration of platelets was evaluated by measuring splenic uptake of 111In-labelled platelets, and findings were correlated with the outcome of splenectomy and medication. Of the 20 patients, 13 had splenic sequestration of platelets. Seven of the 13 patients underwent splenectomy; six of these seven patients experienced a complete response. The other six patients received medication only and showed no response. Of the seven patients without splenic sequestration of platelets, five received medication, and four of them responded to it. 111In-labelled platelet scintigraphy has a role in selecting appropriate therapy and predicting its efficacy in patients with thrombocytopenia associated with malignant neoplasms.
doi_str_mv 10.1007/s002590050224
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The other six patients received medication only and showed no response. 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The study involved 20 consecutive patients with thrombocytopenia associated with malignant neoplasms of hematological disorders and without evidence of underproduction of megakaryocytes due to chemotherapy or bone marrow infiltration by the malignancy. Splenic sequestration of platelets was evaluated by measuring splenic uptake of 111In-labelled platelets, and findings were correlated with the outcome of splenectomy and medication. Of the 20 patients, 13 had splenic sequestration of platelets. Seven of the 13 patients underwent splenectomy; six of these seven patients experienced a complete response. The other six patients received medication only and showed no response. Of the seven patients without splenic sequestration of platelets, five received medication, and four of them responded to it. 111In-labelled platelet scintigraphy has a role in selecting appropriate therapy and predicting its efficacy in patients with thrombocytopenia associated with malignant neoplasms.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>9580857</pmid><doi>10.1007/s002590050224</doi><tpages>6</tpages></addata></record>
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identifier ISSN: 0340-6997
ispartof European journal of nuclear medicine, 1998-03, Vol.25 (3), p.247-252
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subjects Adult
Aged
Aged, 80 and over
Autoantibodies - analysis
Biological and medical sciences
Blood Platelets - diagnostic imaging
Blood Platelets - immunology
Cancer
Female
Half-Life
Hematologic and hematopoietic diseases
Humans
Indium Radioisotopes
Male
Medical research
Medical sciences
Middle Aged
Mortality
Neoplasms - complications
Neoplasms - diagnostic imaging
Other diseases. Hematologic involvement in other diseases
Radionuclide Imaging
Splenectomy
Thrombocytopenia - complications
Thrombocytopenia - diagnostic imaging
Tumors
title Role of indium-111 labelled platelet scintigraphy in the management of thrombocytopenic patients with malignant neoplasms
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