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乳腺癌骨扫描诊断骨转移特点分析

Analysis of bone metastasis characteristics of breast cancer by bone scaning

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【作者】 方永存胡旭东左文述杨国仁陈鸣陆张鹏李国梁霍宗伟

【Author】 FANG Yong-cun, HU Xu-dong, ZUO Wen-shu, YANG Guo-ren, CHEN Ming-lu, ZHANG Peng,LI Guo-liang, HUO Zong-wei Shandong Tumor Hospital,Jinan 250117,P.R. China

【机构】 山东省肿瘤医院核医学科山东省肿瘤医院外一科山东省肿瘤医院核医学科 山东济南250117山东济南250117山东济南250117

【摘要】 目的 :了解乳腺癌骨转移的特点。方法 :通过对 93例乳腺癌骨转移患者的骨扫描结果进行回顾性分析 ,了解乳腺癌骨转移的特点。结果 :乳腺癌患者骨转移表现以异常放射性浓集灶为主 ,部分患者也可表现为放射性稀疏缺损区。骨转移病灶以脊柱及肋骨为最多 ,占 80 % ;颅骨、胸骨、骨盆及四肢骨约占 2 0 %。浸润性导管癌最多 ,占 3 5 5 % ;腺癌其次 ,占 2 5 8% ;髓样癌占 12 9% ;黏液癌仅占 4 3 %。结论 :乳腺癌患者骨转移表现以异常放射性浓集灶为主 ,部分患者也可表现为放射性稀疏缺损区 ;浸润性导管癌和腺癌骨转移率高于髓样癌和黏液癌

【Abstract】 OBJECTIVE:To find out characteristics about bone metastasis of breast cancer.METHODS:The bone scaning was performed in 93 patients with breast cancer,and the characteristics about bone metastasis of breast cancer were analysed.RESULTS: Most of patients′imaging showed high radiotracer uptake in bone metastasis,parts of patients′ imaging showed radiotracer absence. Eighty percent of all metastasis were in spine and ribs and about 20% in skull,sternum,pelvis and limbs,and 35.5% of patients were invasive ductal carcinoma, 25.8% adenocarcinoma, 12.9% medullary carcinoma and 4.3% mucoid carcinoma.CONCLUSIONS: Bone metastasis of breast cancer shows mainly high radiotracer uptake in bone scaning,it in parts of patients shows radiotracer absence.The rates of bone metastasis of invasive ductal carcinoma and adenocarcinoma are higher than those of medullary carcinoma and mucoid carcinoma.

  • 【文献出处】 肿瘤防治杂志 ,Journal of Qilu Oncology , 编辑部邮箱 ,2004年12期
  • 【分类号】R737.9
  • 【被引频次】1
  • 【下载频次】143
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