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腺型肺癌易发生远道转移,因此在发病时尤其切除后,其转移的发生率较其他组织类型为高,其中分化型腺癌更值得注意。据报道腺型肺癌45例手术切除后,经X线诊断有骨转移者10例,占22％。从切除到X线确诊骨转移的时间为6个月到2年4个月。本文报道腺型肺癌34例,男20,女14例,年龄32～76岁。在肺部手术切除后,使用~(99m)锝静脉注入进行全身骨骼闪烁扫描,对扫描阳性部位,立刻X线拍片和骨骼穿刺细胞学检查,加以对照,明确诊断。
Adenocarcinomas are prone to distant metastases, so the incidence of metastases is higher than other tissue types especially after excision at the time of onset, and differentiated adenocarcinomas are more noteworthy. According to reports of 45 cases of glandular lung cancer after surgical resection, 10 cases were diagnosed with bone metastases by X-ray, accounting for 22%. The time from bone resection to X-ray diagnosis was 6 months to 2 years and 4 months. This article reports 34 cases of glandular type lung cancer, 20 males and 14 females, aged 32 to 76 years old. After surgical resection of the lungs, whole body bone scintigraphy was performed using a ~(99m) iliac vein injection. Immediate X-ray films and puncture cytology were performed on the positive site of the scan to confirm the diagnosis.