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罕见的成骨骨转移瘤(国外英文资料)
常见的成骨骨转移瘤
(1) there is a maximum chance of metastasis of prostate cancer in metastatic prostate cancer, with a rate of 50% to 80%. The incidence of prostate cancer was reported at 50.9 percent in the country, 92.6 percent of which were bone changes, and 8.4 percent in pure osteotropism. The transfer site is the largest in the pelvis, followed by lumbar vertebra, thoracic vertebra, cervical vertebra, femoral tuberosity, rib, and chest bone, aged over 60 years old.
X ray film performance: into osseous metastasis to the bone on the background of bone appearance has not changed round or oval dense shade, sometimes map shaped, the edge is irregular, most of the lesions can be confluent, also have lesions involving the whole or most bone, sometimes on the edge of the into osseous lesions are scattered in a small amount of soluble bony destruction. The density increases in cotton wool. The metastatic disease of prostate cancer is more typical, and in combination with clinical diagnosis, diagnosis is not difficult.
The serum alkaline phosphatase is often elevated, accounting for 80% to 85%. Serum acid phosphatase also significantly increased, which is important for the diagnosis of prostate cancer.
(2) breast cancer is one of the most transgenic tumors, and bone metastases occur much earlier than lung cancer. The onset of the disease was mild, with an average age of 45, and bone metastases were reported in 33 to 73 percent of all breast cancers. There are more than half of the bone metastases in the autopsy, so there is a suggestion that, before breast cancer surgery, routine bone checks are important to see if there is a transfer.
X ray film performance: basic is given priority to with dissolved bony destruction, disease started in the medullary cavity, the bone erosion destroy the bone cortex, outside introversion lesions is broad, often damage the bone cortex all, there is no periosteal reaction. When primary tumors are hard cancer, metastatic tumors tend to be more bon
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