| Japanese |
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| Title | 転移性骨腫瘍における痛みと骨シンチグラム所見について |
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| Subtitle | 原著 |
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| Authors | 今枝孟義*, 飯沼元*, 広田敬一*, 井上明美*, 曽根康博*, 関松蔵*, 鈴木雅雄*, 土井偉誉* |
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| Authors(kana) | |
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| Organization | *岐阜大学医学部放射線科 |
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| Journal | 核医学 |
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| Volume | 25 |
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| Number | 12 |
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| Page | 1319-1327 |
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| Year/Month | 1988/12 |
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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」 肺癌, 乳癌, 前立腺癌例を対象として, 痛みと骨シンチ所見について検討を行った. 1) 痛みのある場合, その77〜92%に骨シンチにて転移巣を認めた. 2) 骨転移巣数から検討した場合の痛みの好発部位は, 仙骨, 肩甲骨であり, 一方, 痛みの発生頻度の低い部位は, 肋骨, 頸椎, 頭蓋骨, 大腿骨であった. 3) 赤色骨髄の重量を考慮すると骨転移の好発部位は従来の報告と多少異なり, 肩甲骨, 鎖骨, 胸骨, 上腕骨, 肋骨, 頸椎であり, これらは心臓からの距離が近い骨ばかりであった. 4) 骨転移巣に痛みのあるときには, すでに半数以上の症例が広範囲に骨転移をおこしていた. 一方, 痛みのない症例ではわずかに6%以下の症例が広範囲転移例であった. 5) 骨転移巣における痛みの出現が, 異常集積像の検出より先行していたものはわずかに3%であり, この逆の場合は71%であった. 6) 痛みのある症例の異常集積度は高度で, しかも集積像の大きさは5cm以上のものが多かった. 一方, 痛みのない症例では集積度が軽度で, 5cm以下のものが多かった. 7) 骨シンチで転移と判定した症例における検討では, X線写真の検出率は29%, 痛みによる検出率は41%であった. |
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| Practice | 臨床医学：一般 |
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| Keywords | Bone scintigraphy, Metastatic bone tumor, Bone pain |
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| English |
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| Title | Local Bone Pain and Osseous Scintigraphic Findings in Patients with Metastatic Bone Tumor |
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| Authors | Takeyoshi IMAEDA, Gen IINUMA, Keiichi HIROTA, Akemi INOUE, Yasuhiro SONE, Matsuzo SEKI, Masao SUZUKI, Hidetaka DOI |
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| Authors(kana) | |
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| Organization | Department of Radiology, Gifu University School of Medicine |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 25 |
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| Number | 12 |
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| Page | 1319-1327 |
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| Year/Month | 1988/12 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] Local bone pain and osseous scintigraphic findings were evaluated in patients with cancer of the lung, breast or prostate. (1) In 77-92% out of the patients with local pain, metastatic bone lesions were detected. (2) The sacrum and scapulae were the frequent sites of pain as estimated from the metastatic bone lesions. On the other hand, the incidence of pain was low in the ribs, cervical vertebrae, skull and femurs. (3) When calculated by the weight of red bone marrow, the most likely sites for bone metastases consisted of the scapulae, clavicles, sternum, humeri, ribs and cervical vertebrae, somewhat different from previous reports. Those bones involved were all proximate to the heart. (4) Extensive bone metastases were already detected in more than 50% of patients who complain of pain in the metastatic bone lesion. On the other hand, extensive bone metastases occurred in less than 6% of patients who didn't complain of pain. (5) The appearance of pain in the metastatic bone lesion was earlier in only 3% and was later in 71% than the detection of abnormal radioisotope accumulation on scintigram. (6) Majority of the patients with pain in the metastatic bone lesion showed a high degree of abnormal radioisotope accumulation which measured more than 5 cm in diameter on scintigram. On the other hand, the abnormal radioisotope accumulation in most of patients without pain was mild and mostly measured less than 5 cm in diameter. (7) The positive rate of bone metastasis amounted to 29% by plain X-ray and 41% by local bone pain as compaired to positive bone scintigram. |
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| Practice | Clinical medicine |
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| Keywords | Bone scintigraphy, Metastatic bone tumor, Bone pain |
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