Galasko C S
Department of Orthopaedic Surgery, University of Manchester, Hope Hospital, England.
Clin Orthop Relat Res. 1995 Mar(312):64-75.
Skeletal metastases occur commonly, and it is important to diagnose them early if the patient is to receive optimum treatment. The diagnosis of the lesion should include not only the site of the lesion and the degree and site of dissemination, but also the presence of any complications; the extent of soft tissue involvement, particularly with spinal metastases; and the vascularity of the lesion. The staging of the cancer may be important before starting treatment. Response to treatment should be assessed objectively, and as early as possible, so that if a patient has failed to respond, treatment can be altered. Many methods are available for the diagnosis of skeletal metastases and the assessment of their response to treatment. These methods are discussed in this article.
骨转移很常见，如果患者要接受最佳治疗，早期诊断很重要。病变的诊断不仅应包括病变部位、扩散程度和部位，还应包括是否存在任何并发症；软组织受累程度，特别是脊柱转移时；以及病变的血管情况。在开始治疗前，癌症的分期可能很重要。应尽早客观评估治疗反应，以便如果患者没有反应，可以改变治疗方案。有许多方法可用于诊断骨转移及其对治疗的反应。本文将讨论这些方法。
