Baid B L, Kumar L, Chander S, Rath G K, Kumar S, Kriplani A, Batla N
Department of Radiation Oncology, Institute Rotary Cancer Hospital, All India Institute of Medical Oncology, New Delhi.
Indian J Cancer. 1992 Jun;29(2):71-5.
Seventeen of 620 patients (2.7%) of cancer cervix were diagnosed to have bone metastasis (BM). In three bone metastasis were seen at initial presentation; remaining 14 developed BM in 3 to 36 months after the diagnosis of cancer cervix. Backache (8), localised pain (8), in thigh/hip/neck paraparesis (1) were main symptoms. The duration of symptoms ranged from 1 to 4 (median 2.5) months. Lumber spine, pelvic bones and long bones were the commonest site of involvement. The lesions were single in 12 and at multiple sites in five patients. Radiologically the lesions were osteolytic in all except three where Tc99m bone scan showed increased uptake of radionuclide. Palliative radiotherapy resulted in significant symptomatic relief.
620例宫颈癌患者中有17例（2.7%）被诊断为骨转移（BM）。3例在初次就诊时即发现骨转移；其余14例在宫颈癌诊断后3至36个月出现骨转移。背痛（8例）、局部疼痛（8例）、大腿/臀部/颈部轻瘫（1例）是主要症状。症状持续时间为1至4个月（中位时间2.5个月）。腰椎、骨盆骨和长骨是最常受累的部位。12例患者的病变为单发，5例为多发。放射学检查显示，除3例Tc99m骨扫描显示放射性核素摄取增加外，其余病变均为溶骨性。姑息性放疗显著缓解了症状。
