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目的 探讨不同临床分期及病理类型胃癌患者与骨全身显像结果的关系。方法 对 14 7例经病理证实的胃癌患者行常规全身骨显像 ,其结果与患者临床分期及病理类型对照。结果 ～ 期患者骨转移发生率 0例(0 % ) , 期患者 5例 (6 .85 % ) , 期患者 6 8例 (93.15 % ) ,总转移率为 4 9.7%。其中管状腺癌骨转移发生率 (1/3) ,乳头状腺癌 (2 / 4 ) ,低分化腺癌 (4 6 / 10 4 ) ,粘液癌 (2 1/ 30 ) ,印戒细胞癌 (2 / 3) ,未分化癌 (3/ 3)。多发转移(3处以上 ) 4 6例 ,少发转移 (2～ 3处 ) 2 3例 ,单发转移 4例。结论 ～ 期胃癌患者应实施常规骨显像 ,以免漏诊骨转移
Objective To explore the relationship between bone morphogenesis and bone imaging in patients with different clinical stages and pathological types of gastric cancer. Methods Fourteen seven patients with pathologically confirmed gastric cancer underwent routine whole body bone imaging. The results were compared with the clinical stage and pathological type. Results The incidence of bone metastases was 0 (0%) in 5 patients (6. 85%), 68 (93.15%) patients and 4 9.7% of the patients. The incidence of bone metastasis of tubular adenocarcinoma (1/3), papillary adenocarcinoma (2 of 4), poorly differentiated adenocarcinoma (46/104), mucinous carcinoma (21/30), signet ring cell carcinoma 2/3), undifferentiated carcinoma (3/3). There were 46 cases with multiple metastasis (more than 3 sites), 23 cases with less metastasis (2 ~ 3 sites) and 4 cases with single metastasis. Conclusion Gastric cancer patients should be performed conventional bone imaging in order to avoid misdiagnosis of bone metastases