颌骨转移癌临床分析

Clinical Analysis of Metastatic Carcinoma of the Jaws

目的探讨颌骨转移癌的临床特点。方法收集1999~2011年报道的28例颌骨转移癌的临床资料进行回顾性分析。结果在28例颌骨转移癌中,原发癌以肺癌最多见,为6例,肝癌5例,甲状腺癌4例,食管癌、前列腺癌、肾上腺癌各2例,及肾癌、腮腺癌、乳腺癌、直肠癌、胃癌、子宫癌各1例,原发灶不明1例。转移至下颌骨多见,为25例,转移至上颌骨3例。结论对怀疑颌骨转移癌的患者应详细询问病史,进行全景X线片,CT、组织活检等检查,以早期发现和治疗。

Objective To explore the clinical features of metastatic carcinoma Methods From 1999 to 2011 reported 28 cases of bone metastatic carcinoma were retrospectively analyzed clinical data. Results In 28 cases of metastatic carcinoma,6 cases primary carcinoma of the lung cancer was most common,5 cases of liver cancer,4 cases of thyroid cancer,esophageal cancer,prostate cancer,2 cases of adrenal carcinoma,and renal cell carcinoma,parotid carcinoma,breast cancer,colorectal cancer,gastric cancer,uterine cancer 1 cases,unknown primary in 1 cases. Transfer to the mandible seen in 25 cases,3 cases of metastasis of maxilla. Conclusion Patients with suspected jaw metastases should be asked for detailed history,panoramic X-ray,CT,tissue biopsy and other examinations to early detection and treatment.