| Japanese |
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| Title | 胃癌の骨転移 - 骨シンチグラフィーによる臨床的検討 - |
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| Subtitle | 原著 |
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| Authors | 瀬戸幹人*, 利波紀久*, 小泉潔*, 須井修*, 久田欣一* |
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| Authors(kana) | |
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| Organization | *金沢大学医学部核医学教室 |
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| Journal | 核医学 |
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| Volume | 20 |
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| Number | 6 |
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| Page | 795-801 |
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| Year/Month | 1983/7 |
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| Article | 原著 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」骨転移という観点からは, その頻度が低い印象を受けるために注目され難い胃癌の骨スキャン施行例60例を検討し, 胃癌の臨床的諸因子と骨転移率について興味ある結果を得た. 結果は25% (15/60) に骨転移を認めたが, 隆起性胃癌, 上皮内癌と漿膜浸潤のない進行癌, 領域リンパ節転移が原発巣から3cm以内のN1までのもの, 高分化腺癌, 乳頭状腺癌には骨転移を認めず, 体部占拠癌, 近接臓器浸潤のある進行癌では骨転移率が高かった. 骨転移例15例中3例に骨スキャン上も臨床的にも非常に類似した特徴を示したび漫性骨転移例を認めた. 骨転移は幽門部癌で認めず体部癌では骨転移率が有意に高いこと, 骨転移率と肝転移率はほぼ同率であり両者に明確な相関がなく, 骨転移例の69%は肝転移を認めない事実より, 骨転移様式に従来の門脈型以外に, 脊椎静脈叢の関与する非門脈経路の存在を新たに推察した. |
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| Practice | 臨床医学：一般 |
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| Keywords | bone scintigraphy, bone metastases, gastric cancer |
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| English |
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| Title | Bone Metastases from Gastric Cancer - Clinical Evaluation on Bone Scintigram - |
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| Subtitle | Original Articles |
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| Authors | Mikito SETO, Norihisa TONAMI, Kiyoshi KOIZUMI, Osamu SUI, Kinichi HISADA |
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| Authors(kana) | |
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| Organization | Department of Nuclear Medicine, School of Medicine, Kanazawa University |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 20 |
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| Number | 6 |
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| Page | 795-801 |
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| Year/Month | 1983/7 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] We have studied bone scintigrams in 60 patients with gastric cancer. Of these 60 patients, bone metastases were found in 15 patients (25%) . There were no evidence of bone metastases in polypoid lesions, cancers of the antrum, carcinomas in situ, advanced cancers without invasion to serosa, cancer with N0 or N1 regional lymph node metastases, highly deferenciated adenocarcinomas and papillary adenocarcinomas. On the contrary, high rates of bone metastases were seen in cancers of the corpus, advanced cancers with invasion to neighbouring structures and tubular adenocarcinomas. Of these 15 patients with bone metastasis, 3 patients showed very similar clinical features and the findings of "diffuse bone metastases on bone scintigrams. " Cancer of the antrum showed high rates of liver metastases, while cancers of the corpus showed high rates of bone stastases. Sixty percent of the patients with bone metastases did not have liver metastases and there seemed to be no significant relationship between liver metastases and bone metastases. From these results we suppose that non-portal tract through the vertebral venous plexus instead of portal tract may be the other route of bone metastases from gastric cancer. |
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| Practice | Clinical medicine |
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| Keywords | bone scintigraphy, bone metastases, gastric cancer |
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