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[用亲骨性放射性核素对骨转移进行姑息治疗]

[Palliative treatment of bone metastases with bone-seeking radionuclides].

作者信息

De Klerk J M, Zonnenberg B A, Huiskes A W, Han S H, Blijham G H, Van Rijk P P

机构信息

Afd. Nucleaire Geneeskunde, Academisch Ziekenhuis, Utrecht.

出版信息

Ned Tijdschr Geneeskd. 1998 Nov 28;142(48):2618-22.

Abstract

The skeleton is a common site for metastases in patients with prostate and breast cancer. Beside analgesic therapy and external beam radiotherapy, the use of bone-seeking radiopharmaceuticals gives pain relief. Analogues of these pharmaceuticals are also applied in skeletal scintigraphy. They accumulate at the site of high osteoblast activity and in this way they exert a local favourable influence on metastases through their radiation (beta particles or conversion electrons). The bone-seeking radiopharmaceuticals include strontium-89 chloride and rhenium-186 hydroxyethylidenediphosphonate. The main adverse reaction that has been observed is myelosuppression.

摘要

骨骼是前列腺癌和乳腺癌患者常见的转移部位。除了镇痛治疗和外照射放疗外,使用亲骨性放射性药物可缓解疼痛。这些药物的类似物也应用于骨闪烁显像。它们在成骨细胞活性高的部位聚集,通过其辐射(β粒子或转换电子)对转移灶产生局部有利影响。亲骨性放射性药物包括氯化锶-89和羟乙二膦酸铼-186。观察到的主要不良反应是骨髓抑制。

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