대한핵의학회지 (1967년~2009년)
대한핵의학회지 1981;15(2)1~9
악성종양의 임상적 병기에 따른 99m Tc-MDP 골주사의 비교관찰 ( 99m Tc-MDP Bone Scan Findings in Various Clinical Stages of Malignancies )
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Author 윤휘중(Hwi Joong Yoon),이명철(Myung Chul Lee),조보연(Bo Yeon Cho),김노경(Noe Kyeong Kim),고창순(Chang Soon Koh),
Affiliation
Abstract

Bone scans with Tc-99m-MDP (methylene diphosphonate) were obtained and analysed in 574 from April, 1979 to June, 1931. Clinical staging was done in all patients without bone scan information and compared with bone scan to determine the predictive value of bone scanning. 1) Primary site of the maligancies were lung in 152, breast in 97, stomach in 43, colon in 15, esophagus in 9, liver and pancreas in 11, kidney in 14, bladder in 27, prostate in 22, thyroid in 20, skin in 11, bone in 9, head and neck in 36, ovary and uterus in 17, hematopoietic and lymphoretic ular system in 33, nervous system in 10, and others in 9 cases. Primary site was not defined in 39 cases. 2) Bone scans were positive in 186 cases(32.4%), which, included 48 cases(31.6%) of lung cancer, 27 cases(27.8%) of breast cancer, 12 cases(28%) of stomach cancer, 6 cases(40%) of colon cancer, 6 cases(43%) of kidney tumor, 4 cases(l5%) of bladder cancer, 14 cases(64%) of prostate cancer, 3 cases(l5%) of thyroid cancer and 66 other cases. 3) Bone scans were suspicious in 64 cases(11.2%) which included 29 cases(l9.1%) of lung cancer, 10 cases(l0.3%) of brest cancer, 4 cases(9.3%) of stomach cancer, one case(7%) of colon cancer, 3 cases(11%) of bladder cancer, 2 cases(l0%) of thyroid cancer and 15 other cases. 4) Out of 121 cases with early stage of malignancy (which included 20 cases of lung cancer in stage Ⅰ, Ⅱ, 38 cases of breast cancer, 13 cases of stomach cancer, 8 cases of kidney tumor, 14 cases of thyroid cancer in stage Ⅰ∼Ⅲ, and 6 cases of colon cancer, 14 cases of bladder cancer, 8 cases of prostate cancer in stage A∼C, bone scans were positive in 5 cases (4.1%) which included 3 cases of lung cancer one case of breast cancer and one case of prostate cancer, and considered as further advanced stage, Out of 121 cases with early stage of malgnancy, bone scans were suspicious in 21 cases(17.4%) which inlcuded 9 cases of lung cancer, 4 cases of breast cancer, 2 cases of stomach cancer, one case of colon cancer, 3 cases of bladder cancer, and 2

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