摘要
目的探讨肺癌早期骨转移的临床特点。方法临床资料回顾性分析。结果早期肺癌骨转移病人临床主要表现为不同程度的疼痛,亦可无临床症状。60例肺癌骨转移患者中腺癌58.3%,鳞癌26.7%,小细胞肺癌11.7%,混合癌3.3%。骨转移部位有胸部70.0%,脊柱65%,骨盆53.3%,四肢45%,头颅38.3%。结论肺癌骨转移以多发性、溶骨性骨破坏为特征。腺癌骨转移发生率最高,其次为鳞癌及小细胞癌。通过X线平片、电子计算机断层扫描(CT)、磁共振(MRI)、放射性核素显像(ECT)检查能协助早期肺癌骨转移癌的诊断。
Objective To research the clinical features of lung cancer with osseous metastases. Methods The clinical materials were retrospectively analysed.Results In all the 60 cascs,58.3% was adenoearcinoma,26.7% squamous carcinoma, 11.7% sinail cell lung cancer,3.3 % mixed carcinoma. The frequencies of metastasis sites were as follows, eg, ribs （ 70.0% ）, thoracic and lumber verte- brae （65.0%）, pelvis （53.3% ） ,limbs （45.0%）.Conclusion Osseous metastasis in patients with lung cancer is characterized by multiple osteolytic damages.Adenocarcinoma is one of the most common types of lung cancer that causes osseous metastasis.X-ray, CT, and ECT bone scan were effective methods for early diagnosis and early treatment can improve quality of live and lengthen the survival time.
出处
《四川医学》
CAS
2006年第4期382-383,共2页
Sichuan Medical Journal
关键词
肺癌
骨转移
早期症状
诊断
骨扫描
lung cancer
osseous metastasis
diagnosis
early symptoms
bone scan
