摘要
本文报道42例乳腺癌术后全身骨扫描和x线照片结果。全部病例随访6—24个月。无疼痛症状的21例中骨扫描阳性14例,阴性7例,随访中2例符合骨转移。有疼痛症状的21例中骨扫描阳性16例,阴性5例,其中随访符合骨转移9例。上述结果表明全身骨扫描阳性符合率为36.6％(11/30),无假阴性。x线骨照片阳性9例中,2例为假阳性,另有4例为假阴性,其阳性符合率为77.7％(7/9)。本组资料说明核素骨扫描可以作为乳腺癌术后早期寻找和诊断骨转侈的一种方法,结合x线检查有较高的诊断参考价值。但所出现的相当高的骨扫描假阳性率(63.4％),尚待进一步分析。
42 patients with breast cancer who had already undergons mastectomv reccived whole bone scanning and X-ray films. Follow-up was available for all 42 cases ran ging from 6 to 24 months. Among 21 patients with no pain 14 cases were positive in whole bone scanning; 7 negative. Among them 2 cases were confirmed skeletal metastases during followup. Among 21 patients with pain 16 cases were positive in whole hone scanning, 5 egative. Among them 9 cases were confirmed skeletal metastases during follow-up. The above results showed that positive accuracy rate of bone scanning was 36.6 per cent(11/30) without false positive. And positive accuracy rate of X-ray bone film was 77.3％ (7/9) with false positive (2 cases) and false negative (4 cases) In summary radionuclide bone scanning is a method of finding and diagnosing metastatic bone lessions for postoperative patients with breast cancer. In combination with X-ray examination, it has higher diagnostic reference value but its considerable false positive rate (63.4％) should be analysed further.
出处
《肿瘤防治研究》
CAS
CSCD
北大核心
1991年第1期18-21,共4页
Cancer Research on Prevention and Treatment
