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本文报告204例鼻咽癌患者的全身骨显像结果,骨转移发生率为(56%)(115/204)。对不同临床分期、颈淋巴结转移对鼻咽癌骨转移的影响进行了分析,骨转移发生丰随病期上升而增加,颈淋巴结转移与骨转移发生的时间有关,而与骨转移发生的机率无关。骨转移的部位以肋骨多见,其他依次为脊柱,骨盆、四肢、肩锁骨、颅骨。多发性骨转移为79%(91/115),单发性骨转移21%(24/115),平均每例病灶数4.4个。鼻咽癌患者全身骨显像对鼻咽癌的分期和治疗都是十分重要的。
This article reports 204 patients with nasopharyngeal carcinoma of the whole body bone imaging results, the incidence of bone metastases (56%) (115/204). The effects of different clinical stages and cervical lymph node metastasis on the bone metastasis of nasopharyngeal carcinoma were analyzed. The incidence of bone metastasis increased with the increase of the disease stage. The cervical lymph node metastasis was related to the time of bone metastasis, but not to the probability of bone metastasis . The site of bone metastasis to the ribs more common, followed by the spine, pelvis, limbs, shoulder clavicle, skull. Multiple bone metastases were 79% (91/115) and unilateral bone metastases (21%) (24/115) with an average of 4.4 lesions per lesion. Nasopharyngeal cancer patients with bone imaging of NPC staging and treatment are very important.