BONE METASTASES AS THE 1ST MANIFESTATION OF A TUMOR
BONE METASTASES AS THE 1ST MANIFESTATION OF A TUMOR
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DOI：
10.1007/bf00186882
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发表时间：
1991-01-01
影响因子：
2.7
通讯作者：
MONDEJAR, JL
中科院分区：
文献类型：
--
作者：
BARON, MG;DELAGANDARA, I;MONDEJAR, JL
我们回顾了29例患者，其肿瘤的第一个迹象是骨转移。 确定了两种原发性肿瘤，肺腺癌和子宫腺癌，2例病例的推定诊断为乳腺和前列腺肿瘤。 平均生存期3个月。 当在没有原发肿瘤的情况下发现骨转移时，调查必须包括临床病史、体格检查、常规实验室检查和胸部X线片。 乳腺X线摄影应该做在妇女，特别是当有可触及的腋窝淋巴结。 腹部CT扫描和支气管镜检查应仅在有临床指征时进行。
We have reviewed 29 patients whose first sign of a tumour was a bone metastasis. Two primaries were identified, lung adenocarcinoma and uterine adenocarcinoma and in 2 cases a presumptive diagnosis of tumours of the breast and prostate was made. The mean survival time was 3 months. When bone metastases are found in the absence of a primary tumour, investigation must include a clinical history, physical examination, routine laboratory tests and chest radiographs. Mammography should be done in women, particularly when there are palpable axillary nodes. Abdominal CT scanning and bronchoscopy should only be undertaken when there is a clinical indication.