Beslagić V, Dalagija F, Cerić I, Softić M, Mornjaković A
Institut za radiologiju, Klinicki centar Sarajevo.
Med Arh. 1995;49(3-4 Suppl 1):51-3.
Medical findings of 210 patients with bronchogenic cancer in the four years period of time were elaborated retrospectively. Bone metastases were found with 27 (13.8%) patients. Diagnostic radiologic procedure were plain radiography and CT. The frequency, the localization and the distribution of bone metastases depending on pathohistological diagnosis were presented. The bone metastases were the most frequent (27 patients or 13.8%) compared to metastases of abdomen (23 patients or 10.9%) and brain (20 patients or 9.5%). Out of the total number of 27 (100%) patients with bone metastases, 9 (33.3%) of them have got solitary metastases, and 18 (66.7%) patients have got multiple metastases. Large number of bone metastases were located at spine, and very rarely at radius, ulna and scapula. It was shown that the small cell carcinoma with the most malignant potential was found with 3 (11.1%) patients only. It can be explained by the fact that a large number of patients hadn't got pathohistological diagnosis (13 patients or 48.2%). As a conclusion, the high percentage of patients without final diagnosis is a result of insufficient diagnostic procedures, the radiological ones due to a lack of technical means and not performing biopsy and autopsy.
回顾性阐述了210例支气管源性癌患者在四年期间的医学检查结果。27例(13.8%)患者发现有骨转移。诊断性放射学检查方法为X线平片和CT。介绍了根据病理组织学诊断的骨转移的频率、部位和分布。与腹部转移(23例,10.9%)和脑转移(20例,9.5%)相比,骨转移最为常见(27例,13.8%)。在27例(100%)有骨转移的患者中,9例(33.3%)为孤立性转移,18例(66.7%)为多发性转移。大量骨转移位于脊柱,而位于桡骨、尺骨和肩胛骨的情况非常罕见。结果显示,仅3例(11.1%)患者发现具有最高恶性潜能的小细胞癌。这可以解释为大量患者未进行病理组织学诊断(13例,48.2%)。总之,未最终确诊的患者比例较高是诊断程序不足的结果,放射学检查方面是由于缺乏技术手段以及未进行活检和尸检。