Piéron R, Duhamel G, Roland J, Chatelet F, Akker M V
Sem Hop. 1977 Feb 9;53(6):361-8.
This study of 96 bone biopsies carried out in 84 patients with various malignant solid tumours showed 27 normal bone marrows, 21 hypoplastic marrows, 34 irritant marrows and 14 metastatic marrows. All the patients in the last group and 75% of those with signs of irritation already had other metastases. Tolerance to chemotherapy was better in the normal marrows than in the other cases. There was a significant relationship between the irritant or metastatic or metastatic aspect and the existence of peripheral leucoerythroblastosis (metastatic marrows) or increased platelets (irritant appearances). A significant difference existed during the first five months of survival between these cases with a metastatic marrow and those with an iritant marrow. Bone biopsy should, in our opinion, form part of the routine investigation of cancer patients. It may identify metasine investigation of cancer patients. It may identify metastases where radiography and bone scans have failed.
这项对84例患有各种恶性实体瘤的患者进行的96次骨活检研究显示,有27例骨髓正常,21例骨髓发育不全,34例骨髓有刺激表现,14例骨髓有转移。最后一组的所有患者以及75%有刺激迹象的患者已经有其他转移灶。正常骨髓对化疗的耐受性比其他情况更好。骨髓有刺激表现或转移表现与外周血幼稚白细胞增多(转移骨髓)或血小板增多(刺激表现)之间存在显著关系。有转移骨髓的病例与有刺激骨髓的病例在生存的前五个月存在显著差异。我们认为,骨活检应该成为癌症患者常规检查的一部分。它可以在X线摄影和骨扫描未能发现转移灶的情况下识别转移灶。