摘要
目的:分析肺癌、乳腺癌、前列腺癌骨转移的特点及规律,探讨99mTc-MDP SPECT骨显像在肿瘤骨转移诊断中的价值。方法:收集1246例经临床诊断为肺癌、乳腺癌或前列腺癌在我科行99mTc-MDP SPECT全身骨显像的患者资料进行回顾性分析。结果:①肿瘤骨转移阳性结果:肺癌阳性率47.67%,乳腺癌阳性率39.14%,前列腺癌阳性率68.80%。②肺癌、乳腺癌、前列腺癌骨转移在不同区域骨转移发生率不同。肺癌、乳腺癌在肋骨转移率较高,转移率分别为43.10%和36.67%,其次为脊柱、骨盆;前列腺癌在脊柱和骨盆转移率较高,转移率分别为34.88%和33.72%。③骨转移病灶表现为放射性摄取增高即"热"区,较放射性摄取减少即"冷"区多见。结论:全身骨显像对肺癌、乳腺癌、前列腺癌骨转移的诊断有价值,故应作为肿瘤患者的常规检查。
Objective：To observe the radionuclide bone scintigraphy characteristics of lung cancer,breast cancer and prostate carcinoma and evaluate the value of bone imaging in the diagnosis of tumor patients with bone metastases.Method： The 99mTc-MDP bone imaging results were retrospectively analyzed in 1246 cases with lung cancer,breast cancer and prostate carcinoma.Result： ①The bone metastases ratio of lung cancer was 47.67%,39.14% in breast cancer and 68.80% in prostate carcinoma.②Different ratios of bone metastases occurred in different tumors and different body locations： 43.10% in costal bone in lung cancer and 36.67% in breast cancer,which were the highest,then were vertebral column and pelvis.The ratio of bone metastases in vertebral column and pelvis were 34.88% and 33.72% with prostate carcinoma.In addition,hot area were more than light penia.Conclusion： Radionuclide bone scintigraphy has clinical values for patients with bone metastases from lung cancer,breast cancer and prostate carcinoma,so it should be conducted as routine examination of cancer patients.
出处
《河北医学》
CAS
2010年第7期788-791,共4页
Hebei Medicine
关键词
骨转移
骨显像
放射性核素
Skeletal metastases
Bone imaging
Radionuclide
