~(153)Sm-EDTMP治疗骨转移癌疗效分析

  • 摘要: 报道经病理确诊的乳腺癌、鼻咽癌、肺癌等51例骨转移患者行 ̄(153)Sm-EDTMP内照射重复治疗的疗效。结果骨痛消失、减轻和无效分别为17.6%、74.5%和7.8%,总有效率为92.1%。对15例治疗前后全身骨显像作对比观察,其中7例病灶稳定,其余8例有19个病灶消失或部分消失,同时2例出现新的骨转移灶。个别病例CT动态观察受累骨可见骨质修复,大多数患者全身状况改善,一过性白细胞降低、恶心仅占3.9%,无其他毒副作用。对 ̄(153)Sm-EDTMP治疗骨转移癌过程中可能的影响因素作了分析。

     

    Abstract: THE EFFECTS OF ~(135)Sm-EDTMP THERAPYON METASTATIC BONE CANCERLin Haoxue;Xie Zhichun;Lin Jun;Guo Rong(Tle First Affiliuted Hospital of Fujian Medical College,Fuzhou 350005)Lin Chuanrong;Lin Aizhu(The cancer Hospital of Fujian,Fuzhou 350005)Jin Xiaohai;Liu Yueming;Yang Zhi;Du Jing(China Institute of Atomic Energy,Beijing 102413)ABSTRACT~(153)Sm-EDTMP is administered to 51 patients with painful skeletal metastases which has beencaused by breast cancer, lung cancer and nasopharyngeal cancer confirmed by clinicoathology. Theresults show that the percentage of complete pain relief, partial pain relief and non-response after theradiotherapy is 17. 6/00, 74. 5/00, and 7. 8% respectively. The whole-body bone scanning images of15 patients before and after the radiotherapy show that the selective radiouptake in skeletal lesions of 7patients remained unchanged. In the other 8 patients, 19 skeletal lesions ameliorated completely orpartly. New lesions are found in two cases. Bone repairment is found in XCT scans in one patient.Most of the patients get improvement in constitutional symptoms. Leukocyte-count-radiation-effectand nausea have occurred only about 3. 9%, showing that the treatment has no significant myelotoxici-ty. This study indicates that ~(153)Sm-EDTMP might be used as a safe radiopharmaceutical therapy fortreatment of bone metastasis.Key words bone cancer bone scanning image ~(153)Sm-EDTMP bone metastasis

     

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