Kumar R, Gupta R, Khullar S, Padhy A K, Julka P K, Malhotra A
Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India.
J Assoc Physicians India. 2000 Aug;48(8):808-10.
Bone metastasis in cervical cancer is rare. With the aim of defining the frequency of bony metastasis in patients of carcinoma cervix, with clinical suspicion of metastasis, we performed bone scan in 38 such patients.
Twelve out of the 38 patients were confirmed as having metastasis. All the patients were also detected by bone scan (100% sensitivity).
Bone scan should be investigation of choice for screening patients of carcinoma cervix with symptoms suggestive of metastasis in all stage of the disease. Bone scan is the most sensitive method for detection of bone metastasis. Bone scan offers the additional advantages of allowing a review of the kidney size to look for ureteric involvement and subsequent hydronephrosis.
宫颈癌骨转移较为罕见。为明确临床怀疑有转移的宫颈癌患者中骨转移的发生率,我们对38例此类患者进行了骨扫描。
38例患者中有12例被确诊有转移。所有这些患者均通过骨扫描检测出来(敏感性为100%)。
对于各期有转移症状提示的宫颈癌患者进行筛查时,骨扫描应作为首选检查。骨扫描是检测骨转移最敏感的方法。骨扫描还具有额外的优势,即可以检查肾脏大小以寻找输尿管受累及随后的肾积水情况。