BONE METASTASES AS THE 1ST MANIFESTATION OF A TUMOR

被引:15
作者
BARON, MG [1 ]
DELAGANDARA, I [1 ]
ESPINOSA, E [1 ]
DEPAREDES, MLG [1 ]
ZAMORA, P [1 ]
MONDEJAR, JL [1 ]
机构
[1] UNIV AUTONOMA MADRID,HOSP LA PAZ,DEPT MED ONCOL,PASEO CASTELLANA 261,E-28046 MADRID,SPAIN
关键词
D O I
10.1007/BF00186882
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
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.
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页码:373 / 376
页数:4
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