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报告经病理证实的脊柱转移癌112例,43例(38.4%)未找到原发灶。69例原发癌中,常见的是肺癌10例(14.5%),乳腺癌9例(13.1%),胃肠癌9例(13.1%),甲状腺癌8例(11.6%),肾癌8例(11.6%),食道癌7例(10.1%)。手术治疗为主51例,化疗为主40例,放疗为主10例。分析了临床与X线表现,治疗与预后,认为各种癌脊柱转移的预后不一样,甲状腺癌转移的预后最好,肝癌转移的预后最差,但对同种癌转移而言,早期诊断和综合治疗是影响疗效的主要因素。
112 cases of pathologically confirmed metastatic carcinoma of the spine were reported, and 43 cases (38.4%) failed to find the primary lesion. In 69 cases of primary cancer, 10 cases (14.5%) were common, 9 cases (13.1%) were breast cancer, 9 cases (13.1%) were gastrointestinal cancer, and 8 cases were thyroid cancer (11. 6%), kidney cancer in 8 cases (11.6%), esophageal cancer in 7 cases (10.1%). There were 51 cases of surgical treatment, 40 cases of chemotherapy, and 10 cases of radiotherapy. Analysis of clinical and X-ray findings, treatment and prognosis, the prognosis of various cancer spine metastasis is not the same, the prognosis of thyroid cancer metastasis is best, the prognosis of liver cancer metastasis is the worst, but for the same kind of cancer metastasis, early diagnosis and Comprehensive treatment is the main factor affecting the therapeutic effect.