前列腺癌骨转移的临床与影像学特点对前列腺癌的诊断价值  

Diagnostic value of clinical and imaging feature of prostate carcinoma with bone metastasis for prostatic carcinoma

作　　者：王世芳[1] 

机构地区：[1]山东省荣军总医院放射科,山东济南250013

出　　处：《医学影像学杂志》2008年第7期789-791,共3页Journal of Medical Imaging

摘　　要：目的:分析前列腺癌骨转移的临床与影像学表现,探讨其对前列腺癌的诊断价值。方法:对24例经病理证实的前列腺癌骨转移病例的影像学表现进行了回顾性分析。结果:24例前列腺癌骨转移病例中,多发性骨转移21例,单发性骨转移3例;成骨型骨转移18例,约占75%,混合型骨转移6例,约占25%。转移部位以骨盆、脊椎等中轴骨的多发性成骨转移为主,骨盆16例,胸、腰椎15例。结论:多种影像学检查方法的联合应用有利于发现和诊断前列腺癌的骨转移,对前列腺癌的诊断和治疗具有重要意义。Objective：To analyse the clinical and imaging manifestations of prostate carcinoma with bone metastasis and to study the diagnostic value for prostatic carcinoma in clinic.Methods：24 cases of prostate carcinoma with bone metastasis were analysed retrospectively.Results：Among the 24 cases,21 cases were found with multiple bone metastasis,3 cases were single bone metastasis.Eighteen of them were osteogenesis type,accouning for 75%,and six of them were mixed type,accouning for 25%.The metastasis sites were found mainly in central bones such as spine and pelvis.There were 16 cases in pelvis and 15 cases in spine.Conclusion：Combination imaging examination is favorable to discover and diagnose bone metastasis,which is important for clinical diagnosis and treatment of prostate carcinoma.

关 键 词：前列腺癌 骨转移瘤 成骨型 影像学诊断 

分 类 号：R738.1[医药卫生—肿瘤] R445[医药卫生—临床医学]