Vinceneux P, Cramer E, Grossin M, Kahn M F
Presse Med. 1983 Mar 26;12(14):873-6.
The results of bone puncture (P) or aspiration biopsy (AB) in a series of 82 patients with skeletal metastases are reported. In 71 patients, AB of the posterior iliac crest was performed systematically, irrespective of the site of the bone lesion and without aiming at a suspicious area. In 11 patients, P or AB were guided by televised fluoroscopy towards an image of bone metastasis. With either method, a diagnosis of metastasis was made in 42/82 patients, i.e. 50%. With the first method, positive results were obtained in 43.7% of the cases; the figure rose to 54% in cases with known primary cancer and abnormal X-ray image and dropped to 36% in cases with abnormal image and no history of cancer, and to 9 p. 100 in cases with normal X-ray films. In all 11 patients had fluoroscopy-guided P or AB, histological examination of the specimens was positive for metastasis.
报告了82例骨骼转移患者的骨穿刺（P）或穿刺活检（AB）结果。71例患者中，无论骨病变部位如何，均系统地对髂后嵴进行了穿刺活检，且未针对可疑区域。11例患者中，通过电视透视引导进行骨穿刺或穿刺活检，以获取骨转移图像。采用这两种方法，82例患者中有42例（即50%）诊断为转移。采用第一种方法，43.7%的病例获得阳性结果；在已知原发性癌症且X线图像异常的病例中，这一数字升至54%，在图像异常但无癌症病史的病例中降至36%，在X线片正常的病例中降至9%。在所有11例接受透视引导下骨穿刺或穿刺活检的患者中，标本的组织学检查显示转移呈阳性。
