Ketiku K K, Azodo M V
Department of Radiation Biology and Radiotherapy, College of Medicine of the University of Lagos, Nigeria.
West Afr J Med. 1996 Apr-Jun;15(2):81-4.
38 Nigerian patients with stage III breast cancer who presented with bone pain to the Department of Radiation Biology and Radiotherapy, Lagos University Teaching Hospital, Lagos between 1977 and 1984 were screened for bone metastases using skeletal survey and radio-isotope bone scan. A comparison of the results revealed that there was correlation in the results of both investigations in 36.8% of patients. In the remaining 63.3% there was a significant uptake of radio-isotope on bone scan while corresponding skeletal survey radiographs were negative. However every patient with known metastases on skeletal survey also had an abnormal bone scan. Possible explanations are given for the rather large proportion of our patients who had abnormal bone scan but normal radiographs.
1977年至1984年间,38名患有III期乳腺癌且因骨痛前往拉各斯大学教学医院放射生物学与放射治疗科就诊的尼日利亚患者,接受了骨骼检查和放射性核素骨扫描以筛查骨转移情况。结果比较显示,36.8%的患者两项检查结果存在相关性。在其余63.3%的患者中,骨扫描显示放射性核素摄取显著增加,而相应的骨骼检查X线片为阴性。然而,每一位经骨骼检查确诊有转移的患者骨扫描也均异常。针对我们的患者中骨扫描异常但X线片正常的比例相当大的情况给出了可能的解释。