期刊文献+

89Sr治疗乳腺癌和前列腺癌多发性骨转移的临床观察 被引量:3

Clinical observation of 89Sr treatment efficacy of multiple bone metastases in breast and prostate cancer patients
原文传递
导出
摘要 目的 探讨放射性核素89Sr治疗乳腺癌和前列腺癌多发性骨转移患者的临床效果.方法 回顾性分析30例乳腺癌和40例前列腺癌多发性骨转移患者接受89Sr治疗的病例资料,采用Karnofsky评分量表和骨显像方法进行疗效评估.结果 乳腺癌组的止痛总有效率为79%,前列腺癌组的止痛总有效率为85%,两组患者之间差异无统计学意义(x2=0.78,P>0.05).两组患者的生存质量均有明显改善,治疗前后两组患者的Karnofsky评分均有明显提高(t=2.46,P<0.05;t=2.68,P<0.05).治疗后两组患者均未见明显骨髓抑制与肝肾功能损伤.结论 89Sr治疗乳腺癌和前列腺癌多发性骨转移止痛效果良好,患者生存质量有明显提高. Objective To evaluate the efficacy of 89Sr in treatment of multiple bone metastases of breast and prostate cancer patients. Methods Seventy multiple bone metastases patients (30 females with breast cancer and 40 males with prostate cancer) were treated with 89Sr. The clinical effectiveness was assessed by Karnofsky performance score and whole body bone scanning data. Results The total pain relief rate was 79% in bone metastases of breast cancer and 85% in bone metastases of prostate cancer, respectively. There was no significant differences between the two groups (x2 = 0.78, P〉0.05 ). The Karnofsky score was significantly improved in both groups (t = 2.46, P〈0.05; t = 2.68, P〈0.05). The bone marrow depression and the damage of liver and kidney were not observed in the two groups. Conclusion The analgesic effect of 89Sr treatment was good, and the quality of life was improved in patients with multiple bone metastases breast or prostate cancer.
出处 《国际放射医学核医学杂志》 2010年第4期220-222,共3页 International Journal of Radiation Medicine and Nuclear Medicine
关键词 乳腺肿瘤 前列腺肿瘤 肿瘤转移 骨肿瘤 锶放射性同位素 Breast neoplasms Prostate neoplasms Neoplasm metastasis Bone neoplasms Strontiumradioisotopes
  • 相关文献

参考文献7

二级参考文献47

  • 1李勇,房娜.骨转移瘤患者^(89)SrCl_2治疗后免疫功能的变化[J].中华核医学杂志,2004,24(4):220-221. 被引量:5
  • 2王,朱敏,陈保国,郑志强.^(89)Sr对乳腺癌MCF-7细胞周期及基因表达的影响[J].中华核医学杂志,2007,27(1):13-15. 被引量:3
  • 3张天泽 徐光炜.肿瘤学[M].天津:天津科学技术出版社,1999.2124.
  • 4Blake GM, Zivanovic MA, McEwan A J, et al. Sr-S9 therapy : Strontiurn kinetics in disseminated carcinoma of the prostate. Eur J Nucl Med, 1986, 12(9) : 447-454.
  • 5Petrovich Z, Baert L, Bagshaw MA, et al. Adenocarcinoma of the prostate: Innovations in management. Am J Clin Oncol, 1997, 20(2) : 111-119.
  • 6Breen SL, Powe JE, Porter AT, et al. Doze estimation in strontium-89 radiotherapy of metastatic prostatic carcinoma. J Nucl Med, 1992, 33(7) : 1316-1323.
  • 7Ben-Josef E, Maughan RL, Vasari S, et al. A direct measurement of strontium-89 activity in bone metastases. Nucl Med Commun, 1995, 16(6) : 452-456.
  • 8Robinson RG, Spicer JA, Preston DF, et al. Treatment of metastatic bone pain with strontium-89. Int J Rad Appl Instrum B, 1987, 14(3): 219-222.
  • 9Harrison J, Day P. Radiation doses and risks from internal emitters. J Radiol Prot, 2008, 28(2) : 137-159.
  • 10Strigari L, Sciuto R, D'Andrea M, et al. Radiopharmaceutical therapy of bone metastases with ^89SRC12, ^186Re-HEDP and ^153Sm-EDTMP: A dosimetric study using Monte Carlo simulation. Eur J Nucl Med Mol Imaging, 2007, 34(7) : 1031-1038.

共引文献26

同被引文献32

  • 1李镜发,邹德环,朱旭生,佘立群.^(89)Sr和^(153)Sm-EDTMP治疗多发性骨转移癌止痛疗效的评价[J].广州医药,2006,37(2):12-14. 被引量:13
  • 2刘开元,罗朝学,廖建梅.^(89)SrCl_2治疗83例多发性骨转移瘤的回顾分析[J].第三军医大学学报,2006,28(10):1106-1107. 被引量:1
  • 3Crooijmans RP, Schwachofer JH, Hoogenhout J. The influence of preirradiationon the survival of two head and neck squamous cell carcinoma lines [ J ]. Anticancer Res, 1991,11 ( 1 ) :297-299.
  • 4Serafini AD, Samarium Sm-153 lexidronal for the palliation of bone pain associated with metastases [ J ]. Cancer, 2000,88 ( 12 ) : 2934- 2939.
  • 5Costa L. Bisphosphonates:reducing the risk of skeletal complications from bone metastasis[J].{H}BREAST,2007,(03):S16-S20.
  • 6Chengwang,Jingwang,Han jiang. In vitro study on apoptosis induced by strontium-89in human breast carcinoma cell[J].Biomedicine and Biotechnology,2011,(09):1155-1162.
  • 7Wenjie zhang,Weiwei zhao,Zhiyun jia. Strontium-89therapy for the treatment of huge osseous metastases in prostate carcinoma:A case report[J].Exp Ther Med,2013,(02):608-610.
  • 8Tomasz Skóra,Teresa kowalska,Krystyna zawia. Ef-fectiveness of radioisotope therapy in bone metastases,Based on personal experience[J].Published online,2012,(03):201-205.
  • 9Howard S. Smith,Intikhab mohsin. Painful boney metastases[J].Korean J Pain,2013,(03):223-241.
  • 10Finlay IG,Mason MD,Shelley M. Radioisotopes for the palliation of metastatic bone cancer:a systematic review[J].{H}LANCET ONCOLOGY,2005.40-392.

引证文献3

二级引证文献19

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部