Lagrange J L, Frenay M, Darcourt J, François E, Héry M, Namer M, Lapalus F
Service de Radiothérapie, Centre Antoine-Lacassagne, Nice.
J Gynecol Obstet Biol Reprod (Paris). 1990;19(6):701-8.
Bone metastases are frequent in the evolution of breast cancer. Bone scan is the best method for early detection. At initial presentation the frequency of bone metastases is low, and it is usefulness to recommend this exam except for old people or patients with risks factors. During the follow-up, the utility of repeated bone scan is discussed. For the majority of authors, it may be reserved for symptomatic patients or when biological modifications appeared. The follow-up of these patients must be essentially clinical. This strategy delay the diagnosis of bone metastases of only a few weeks; and it don't seem to affect the prognosis of these patients.
骨转移在乳腺癌的病程中很常见。骨扫描是早期检测的最佳方法。在初次就诊时，骨转移的发生率较低，除老年人或有危险因素的患者外，推荐这项检查并无太大用处。在随访期间，对于重复进行骨扫描的效用存在争议。对于大多数作者而言，骨扫描可能仅适用于有症状的患者或出现生物学改变时。对这些患者的随访必须以临床为主。这种策略只会将骨转移的诊断推迟几周；而且似乎不会影响这些患者的预后。
