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

作　　者：方永存[1] 胡旭东[1] 左文述[2] 杨国仁[1] 陈鸣陆[1] 张鹏[1] 李国梁[1] 霍宗伟[1] 

机构地区：[1]山东省肿瘤医院核医学科,山东济南250117 [2]山东省肿瘤医院外一科,山东济南250117

出　　处：《肿瘤防治杂志》2004年第12期1293-1294,共2页China Journal of Cancer Prevention and Treatment

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 ;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.

关 键 词：乳腺肿瘤/病理学 骨肿瘤/放射性核素显像 骨肿瘤/继发性 

分 类 号：R737.9[医药卫生—肿瘤]