恶性肿瘤骨转移诊断.pdf

第 18 卷　第6 期 华　夏　医　学 V o l18 N o 6 2005 年 10 月 　 　 O ct 2005 A CTA M ED IC INA E S IN ICA 恶性肿瘤骨转移的诊断① 刘陶文, 李俊喜 (广西壮族自治区南溪山医院, 广西 桂林　541002) 摘要: 骨是恶性实体瘤最常见的三大转移部位之一, 乳腺、肺和前列腺癌患者死亡时其骨骼有大量的癌负荷。癌通过 ( ) 溶骨和 或 成骨破坏骨骼。本文综述实体瘤骨转移的骨骼影像学和骨代谢产物的变化。 关键词: 骨转移; 诊断; 骨影像; ICT P; 恶性肿瘤 中图分类号: R 73. 37　　　文献标识码: A 　　　文章编号: (2005) - , - D iagnosis of bone m etastasis in carc inoma L IU Tao wen L I Jun x i Nanx ishan Hosp ital of Guangx i Zhuang Au- tonom ous Reg ion , Guilin 541002, Ch ina : . Abstract Bone is one of the th ree mo st favo red site of so lid tumo r m etastasis Patients w ith the mo st common so lid tu , , , mo rs such as breast lung and p ro state carcinom as m ay have the m ajo r po rtion of the tumo r burden p resent in bone at . , death T umo r affects the skeleton no t only by causing o steo lytic m etastasis but also occasionally by causing m etasta . sis characterized by the fo rm ation of new bone around the tumo r cell depo sits T h is article review s bone scanning o r im aging and bone m etabo lic m arkers in so lid cancers m etastasize to bone. : ; ; ; ;