骨轉(zhuǎn)移癌診斷及治療課件

骨轉(zhuǎn)移癌的診斷及治療無(wú)錫四院放疔科范2019-1骨轉(zhuǎn)移癌的診斷及治療1骨骼是惡性腫瘤常見(jiàn)的轉(zhuǎn)移部位,惡性腫瘤病人尸檢結(jié)果顯示骨轉(zhuǎn)移瘤總體發(fā)病率為325%。骨轉(zhuǎn)移瘤的發(fā)病率約為原發(fā)惡性骨腫瘤的35-40倍。無(wú)錫市第四人民醫(yī)院骨骼是惡性腫瘤常見(jiàn)的轉(zhuǎn)移部位,惡性腫2(一)臨床特點(diǎn)骨轉(zhuǎn)移瘤好發(fā)于中老年,男女比例約為3:1,多數(shù)病例為多發(fā)骨破壞。脊柱、骨盆和長(zhǎng)骨干骺端是骨轉(zhuǎn)移瘤好發(fā)部位。無(wú)錫市第四人民醫(yī)院(一)臨床特點(diǎn)3(二)臨床表現(xiàn)疼痛(50%-90%0)病理性骨折(5%-40%0)高鈣血癥(100-20%0)脊柱不穩(wěn)和脊髓神經(jīng)根壓迫癥狀(<10%)骨髓抑制(<10%o)無(wú)錫市第四人民醫(yī)院(二)臨床表現(xiàn)490%以上的骨轉(zhuǎn)移腫瘤來(lái)源于乳腺癌、前列腺癌、肺癌、甲狀腺癌和腎癌無(wú)錫市第四人民醫(yī)院90%以上的骨轉(zhuǎn)移腫瘤來(lái)源于乳腺癌、5骨轉(zhuǎn)移癌診斷及治療課件6骨轉(zhuǎn)移癌診斷及治療課件7骨轉(zhuǎn)移癌診斷及治療課件8骨轉(zhuǎn)移癌診斷及治療課件9骨轉(zhuǎn)移癌診斷及治療課件10骨轉(zhuǎn)移癌診斷及治療課件11骨轉(zhuǎn)移癌診斷及治療課件12骨轉(zhuǎn)移癌診斷及治療課件13骨轉(zhuǎn)移癌診斷及治療課件14骨轉(zhuǎn)移癌診斷及治療課件15骨轉(zhuǎn)移癌診斷及治療課件16骨轉(zhuǎn)移癌診斷及治療課件17骨轉(zhuǎn)移癌診斷及治療課件18骨轉(zhuǎn)移癌診斷及治療課件19骨轉(zhuǎn)移癌診斷及治療課件20骨轉(zhuǎn)移癌診斷及治療課件21骨轉(zhuǎn)移癌診斷及治療課件22骨轉(zhuǎn)移癌診斷及治療課件23骨轉(zhuǎn)移癌診斷及治療課件24骨轉(zhuǎn)移癌診斷及治療課件25骨轉(zhuǎn)移癌診斷及治療課件26骨轉(zhuǎn)移癌診斷及治療課件27骨轉(zhuǎn)移癌診斷及治療課件28骨轉(zhuǎn)移癌診斷及治療課件29骨轉(zhuǎn)移癌診斷及治療課件30骨轉(zhuǎn)移癌的診斷及治療無(wú)錫四院放疔科范2019-1骨轉(zhuǎn)移癌的診斷及治療31骨骼是惡性腫瘤常見(jiàn)的轉(zhuǎn)移部位,惡性腫瘤病人尸檢結(jié)果顯示骨轉(zhuǎn)移瘤總體發(fā)病率為325%。骨轉(zhuǎn)移瘤的發(fā)病率約為原發(fā)惡性骨腫瘤的35-40倍。無(wú)錫市第四人民醫(yī)院骨骼是惡性腫瘤常見(jiàn)的轉(zhuǎn)移部位,惡性腫32(一)臨床特點(diǎn)骨轉(zhuǎn)移瘤好發(fā)于中老年,男女比例約為3:1,多數(shù)病例為多發(fā)骨破壞。脊柱、骨盆和長(zhǎng)骨干骺端是骨轉(zhuǎn)移瘤好發(fā)部位。無(wú)錫市第四人民醫(yī)院(一)臨床特點(diǎn)33(二)臨床表現(xiàn)疼痛(50%-90%0)病理性骨折(5%-40%0)高鈣血癥(100-20%0)脊柱不穩(wěn)和脊髓神經(jīng)根壓迫癥狀(<10%)骨髓抑制(<10%o)無(wú)錫市第四人民醫(yī)院(二)臨床表現(xiàn)3490%以上的骨轉(zhuǎn)移腫瘤來(lái)源于乳腺癌、前列腺癌、肺癌、甲狀腺癌和腎癌無(wú)錫市第四人民醫(yī)院90%以上的骨轉(zhuǎn)移腫瘤來(lái)源于乳腺癌、35骨轉(zhuǎn)移癌診斷及治療課件36骨轉(zhuǎn)移癌診斷及治療課件37骨轉(zhuǎn)移癌診斷及治療課件38骨轉(zhuǎn)移癌診斷及治療課件39骨轉(zhuǎn)移癌診斷及治療課件40骨轉(zhuǎn)移癌診斷及治療課件41骨轉(zhuǎn)移癌診斷及治療課件42骨轉(zhuǎn)移癌診斷及治療課件43骨轉(zhuǎn)移癌診斷及治療課件44骨轉(zhuǎn)移癌診斷及治療課件45骨轉(zhuǎn)移癌診斷及治療課件46骨轉(zhuǎn)移癌診斷及治療課件47骨轉(zhuǎn)移癌診斷及治療課件48骨轉(zhuǎn)移癌診斷及治療課件49骨轉(zhuǎn)移癌診斷及治療課件50骨轉(zhuǎn)移癌診斷及治療課件51骨轉(zhuǎn)移癌診斷及治療課件52骨轉(zhuǎn)移癌診斷及治療課件53骨轉(zhuǎn)移癌診斷及治療課件54骨轉(zhuǎn)移癌診斷及治療課件5