SPECT全身骨显像对乳腺癌骨转移的临床价值

目的探讨核素全身骨显像诊断早期乳腺癌骨转移的临床价值。方法对208例确诊的乳腺癌患者进行^99mTc—MDP骨显像。结果208例乳腺癌全身骨显像中，发现骨转移者98例，发生率为47．1％，骨转移灶分布以胸部最多见（48．9％），其次是椎体（28．5％），骨盆（19．4％），四肢骨（13．3％），颅骨和其他骨骼（8．2％）。结论乳腺癌骨转移发生率很高，骨转移的发生有一定的规律及特点，核素全身骨显像对骨转移的诊断有价值，应作为乳腺癌的常规检查。

Clinical application of SPECT bone imaging in diagnosing bone metastasis from breast cancer

Objective To approach the clinic value of the whole body nuclide bone imaging to diagnose the earlier period osseous metastasis of breast cancer. Methods We made the ^99mTc - MDP bone imaging for 208 patients who had diagnosed the breast cancer. Results There were 98 patients had the bone metastasis in 208 patients diagnosed breast cancer,the incidence rate was 47.1%. The thoracic part had the most incident of osseous metastasis （48.9%）, then the vertebral body （28.5%）, pelvis （ 19.4% ） ,limbs bone（ 13.3% ） ,skull and the other parts（8.2% ）. Conclusions The incidence rate of osseous metastasis is very high for the breast cancer patients, and the incidence of the osseous metastasis has definite rules and features. It is worth diagnosing the breast cancer with the whole body nuclide bone imaging, and it should be a routine examination for the breast cancer.