胃癌132例核素骨显像结果分析

目的 探讨胃癌患者骨显像结果与不同临床分期和病理类型的关系,以及胃癌骨转移的特点和规律。方法 回顾性分析132例胃癌患者骨显像结果,从病理、临床分期、骨转移灶数目和分布部位进行讨论和分析。结果 132例患者中骨转移21例,占15.9%,其中多发性骨转移19例,占转移患者90.5%;低分化腺癌及未分化癌、黏液腺癌骨转移率分别为15.2%和20%,Ⅲ、Ⅳ期胃癌骨转移率18.4%和26.6%;骨转移的部位以椎体最常见,其次是肋骨、骨盆。结论 胃癌较少转移至骨,一旦发生骨转移,一般转移病灶范围较广泛,已属肿瘤晚期。对分期晚、分化差胃癌患者应定期进行骨核素显像,以早期发现骨转移。

Clinical analyses of radionuclide bone imaging with 132 gastric cancer

Objective To investigate the characteristics and regularity of skeletal metastases with gastric cancer of different pathological types and clinical stage. Methods Radionuclide bone imaging was analysed retrospectively in 132 cases of gastric cancer. And discussing in different pathological types, clinical stage, the number of bone metastasis and distribute sites. Results Total skeletal metastatic rate of gastric cancer was 15.9%(21/132). Multiple bone metastasis 90.5%(19/21). The ratio of bone metastasis of III, IV stage is 18.4%, 26.6% respectively. Low deferential and undifferentiated adenocarcinoma is 15.2%, 20% respectively. Spine bones were the frequently involved metastatic sites, Thoracic and pelvis were the next. Conclusions Keletal metastases with gastric cancer is not frequet. Metastatic sites is widespread and late stage. Radionuclide bone imaging of regularly is useful for diagnosising, treating gastric cancer.