常见的成骨骨转移瘤（Common osteogenic metastases）.docVIP

常见的成骨骨转移瘤（Common osteogenic metastases） (1) there is the most chance of bone metastasis in prostate cancer, and the incidence of prostate cancer is 50%~80%. In China, the incidence of bone metastasis of prostate cancer was 50.9%, 92.6% of which were bony changes, and 8.4% were simple osteolytic changes. The location of metastasis is the pelvis, the second is the lumbar vertebrae, the thoracic vertebrae, the cervical vertebrae, the femur, the ribs, and the sternum. The majority of the cases are over 60 years old. The X-ray showed: osteoblastic metastasis appears as a round or oval dense shadow in bone bone appearance did not change the background, sometimes a map shape, irregular edge, most lesions can be integrated into the film, there are lesions involving the most or the whole bone, sometimes in the edge of bone lesions scattered in small osteolytic destruction. Cotton wool density is increased. Prostate cancer bone metastasis is more typical, combined with clinical diagnosis is generally not difficult. Laboratory examination, serum alkaline phosphatase, Chang Zenggao, about 80%~85%, serum acid phosphatase is also significantly higher, and it is of important value in the diagnosis of bone metastasis of prostate cancer. (two) breast cancer, bone metastasis, breast cancer is one of the most prone to bone metastasis, and bone metastasis is more frequent and early than lung cancer. The age of onset is mild, with an average of 45 years. Bone metastasis is reported in all breast cancers in 33%~73%. More than half of bone metastases are found in autopsy, so it is suggested that routine skeletal examination before breast cancer surgery is important for the presence or absence of metastasis. X-ray manifestations: mainly osteolytic destruction, lesions began in the medullary cavity, from bone erosion, destruction of bone cortex, the lesion is extensive, often destroy bone cortex all, there is no periosteal reaction. When the primary tumor is a hard cancer, the metastatic tu