使用放射性核素骨闪烁显像术来确定口腔鳞状细胞癌向下颌骨的局部扩散情况。

The use of radionuclide bone scintigraphy to determine local spread of oral squamous cell carcinoma to mandible.

作者信息

Luyk N H, Laird E E, Ward-Booth P, Rankin D, Williams E D

出版信息

J Maxillofac Surg. 1986 Apr;14(2):93-8. doi: 10.1016/s0301-0503(86)80268-5.

Abstract

In oral squamous cell carcinoma, conservative resection of mandible is not recommended if there is tumour invasion. The use of bone scintigraphy to obtain a more accurate assessment of tumour spread has been evaluated in comparison with radiographs and histology in 11 patients. Tumour invasion of bone was shown on scans and radiographs, but periosteal reaction to tumour was detected by scintigraphy only. Thus both scintigraphy and radiography are recommended for preoperative assessment of bony margins for radical resection.

摘要

在口腔鳞状细胞癌中，如果存在肿瘤侵犯，不建议对下颌骨进行保守性切除。与X线片和组织学检查相比，已对11例患者使用骨闪烁显像术来更准确地评估肿瘤扩散情况进行了评估。骨闪烁显像和X线片均显示有肿瘤侵犯骨，但仅骨闪烁显像检测到了骨膜对肿瘤的反应。因此，推荐同时使用骨闪烁显像和X线片对根治性切除的骨边界进行术前评估。