Radiographic Patterns of Bony Metastases in Patients with Advanced Adenocarcinoma of the Prostate

攝護腺癌患者骨骼轉移形態分析

吳東霖(Tony T. Wu) ； 陳光國(Kuang-Kuo Chen) ； 許明輝(Ming-Huei Sheu) ； 陳明村(Ming-Tsun Chen) ； 黃榮慶(Jong-Khing Huang) ； 張心湜(Luke S. Chang)

《中華民國泌尿科醫學會雜誌》 4卷2期 (1993/06) Pp. 1047-1050

https://doi.org/10.7024/JUAROC.199306.1047

摘要

自民國75年1月至79年12月，本院共治療252例攝護腺癌患者；其中118位經核醫骨骼掃描發現有骨略轉移。這些病人中有100位患者有同一時期的骨骼核醫掃描及放線攝影可供比較；所有X光片均由同一位放射線科大夫在不知核醫檢查結果的情形下判讀。
結果發現Tc-99m MDP核醫掃描共發現269處骨轉移病灶，而其中僅119處（44%）在放射線檢查中可見；反之亦有3例病灶於醫掃描中未能發現（假陰性率約1%）。在48位放射線骨骼攝影可發現病灶的病患中，依其骨骼侵犯形態區分73%為骨增生性，10%為骨蝕性，而其餘17%則為混合型。

並列摘要

From January 1986 to December 1990, a total of 252 patients with prostatic cancer were newly diagnosed in our hospital. One hundred and eighteen patients had evidence of bony metastasis detected by radionuclide whole body bone scans or radiographic bone surveys. Of these, 100 patients had concomitant radiographs and bone scintigraphys for comparsion. All the radiographs wee reviewed by one radiologist, without knowledge of the bone scan findings.
A total of 269 lesions were detected by Technetium 99-m methylene diphosphonate (Tc-99m MDP) whole body bone scan. Only 119 of these lesions (44%) could be dedtected by plain bone radiographs. However, three metastatic lesions (1%) were false-negative in bone scintigraphy. Forty-eight patients had positive findings in bone surveys: 73% of them were osteoblastic, 10% were pure osteoytic and 17% were mixed osteoblastic and osteolytic lesions.

並列關鍵字

prostate ； neoplasms ； radiology