Japanese
Title前立腺癌患者に対する骨シンチグラフィの検討
Subtitle原著
Authors村井伸子*, 陣之内正史*, 星博昭*, 渡辺克司*, 新川徹**
Authors(kana)
Organization*宮崎医科大学放射線医学教室, **泌尿器科学教室
Journal核医学
Volume23
Number2
Page115-122
Year/Month1986/2
Article原著
Publisher日本核医学会
Abstract「要旨」生検または手術にて病理組織学的に確診の得られた前立腺癌患者63例に対し, 99mTc-MDPによる骨シンチグラフィを施行し, その臨床的評価を行った. 初回検査で骨転移と診断されたのは63例中38例60%で, 転移部位は躯幹骨に多く, 単純X線写真では造骨性変化を示すものが多かった. 経過観察の目的で再検査を行った49例では, 初回検査で骨転移がみられた29例のうち, 治療後の骨シンチ所見に改善がみられたもの6例21%, 不変は14例48%, 異常集積の増加したもの9例31%であり, 異常集積の増加した9例中2例はflare phenomenonと考えられた. また, 初回検査で骨転移を認めなかった20例中7例(35%)で, その後の2〜57か月の間に骨転移が出現した. 骨シンチグラフィは前立腺癌患者の骨転移の有無判定および経過観察に有効な検査法と考えられた.
Practice臨床医学:一般
KeywordsBone scintigraphy, Prostatic carcinoma, bone metastasis.
English
TitleClinical Evaluation of Bone Scintigraphy in Patients with Prostatic Cancer
SubtitleOriginal Articles
AuthorsNobuko MURAI*, Seishi JINNOUCHI*, Hiroaki HOSHI*, Katsushi WATANABE*, Tohru SHINKAWA**
Authors(kana)
Organization*Department of Radiology, **Department of Urology, Miyazaki Medical College
JournalThe Japanese Journal of nuclear medicine
Volume23
Number2
Page115-122
Year/Month1986/2
ArticleOriginal article
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
AbstractClinical evaluation of bone scintigraphy in patients with prostatic carcinoma was studied. Materials are 63 cases with prostatic carcinoma diagnosed by biopsy or operation. Positive rate of the first scan was 60 percent (38/63) and metastatic lesions are commonly observed in axial bones, such as ribs, pelvic bones and lumbar vertebrae. Roentgenogram showed osteoplastic type in 26 cases out of 38. Among 20 cases without bone metastases on the first scans, bone metastases occured 2-59 months after the first scans in 8 cases. Among 29 cases with bone metastases on the first scans, scintigraphic findings improved in 6 cases, didn't change in 13 cases, advanced in 7 cases and showed flare reaction in 2 cases in the second scans. It is concluded that bone scintigraphy is a useful examination to evaluate bone metastases in a patient with prostatic carcinoma.
PracticeClinical medicine
KeywordsBone scintigraphy, Prostatic carcinoma, bone metastasis.

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