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Bone scanning for bone metastasis in carcinoma cervix.
1Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India.
The Journal of the Association of Physicians of India
|March 29, 2001
Summary
Bone metastasis in cervical cancer is rare but bone scans are highly sensitive for detection. This study found bone scans effective in identifying bony metastasis in patients with suspected spread from cervical cancer.
Area of Science:
- Oncology
- Nuclear Medicine
- Radiology
Background:
- Bone metastasis is an uncommon complication of cervical cancer.
- Clinical suspicion of metastasis necessitates accurate diagnostic methods.
Purpose of the Study:
- To determine the frequency of bone metastasis in cervical cancer patients with clinical suspicion.
- To evaluate the diagnostic utility of bone scans in this population.
Main Methods:
- Bone scans were performed on 38 patients with cervical cancer and clinical suspicion of bone metastasis.
- Results were correlated with confirmed cases of metastasis.
Main Results:
- Bone metastasis was confirmed in 12 out of 38 patients (31.6%).
- Bone scan demonstrated 100% sensitivity in detecting bone metastasis in the study group.
- Bone scans also allowed assessment of renal involvement and hydronephrosis.
Conclusions:
- Bone scan is a highly sensitive imaging modality for detecting bone metastasis in cervical cancer.
- It is recommended as the investigation of choice for screening patients with suggestive symptoms, irrespective of disease stage.
- The technique provides additional benefits by evaluating potential complications like hydronephrosis.