在乳腺癌病例的手术前调查中骨扫描
Islam Mansy1, Abdelfatah M Elsenosy2, Eslam Hassan3
1General Surgery and Surgical Oncology, Maadi Armed Forces Medical Complex, Cairo, EGY.
Cureus
|December 21, 2023
概括
乳腺癌的常规骨扫描 (BS) 不具有成本效益或时间效率. BS不应该是强制性的手术前调查,但在T4病例中与MRI一起考虑.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 卫生经济学 卫生经济学
背景情况:
- 乳腺癌是女性最常见的癌症,占新诊断的28%.
- 手术前的调查旨在确定癌症的阶段,并指导治疗决策.
- 骨扫描 (BS) 在乳腺癌术前评估中的作用需要评估.
研究的目的:
- 评估骨扫描 (BS) 在乳腺癌患者手术前评估中的实用性和成本效益.
- 为了确定所有乳腺癌阶段是否需要例行骨扫描.
- 为了比较接受BS和不接受BS的患者之间的结果和成本.
主要方法:
- 进行了一项涉及105名乳腺癌患者 (T1-T4阶段) 的研究.
- 患者被分为三个组:回顾性BS,前性非BS和回顾性非BS.
- 骨转移的诊断通过骨扫描和进一步的成像 (CT,X射线,MRI) 得到证实.
主要成果:
- 没有常规BS的组 (组2和3) 承担的医院费用明显低于BS的组 (组1).
- 在没有接受常规BS的患者中,手术时间显著缩短.
- 骨扫描被认为是昂贵和耗时的,特别是在M期乳腺癌中.
结论:
- 常规骨扫描不具有成本效益,并且对于所有手术前乳腺癌检查都是不必要的.
- 对于所有乳腺癌患者来说,骨扫描不应该是强制性的.
- 考虑骨扫描应保留在特定情况下,特别是T4乳腺癌,与MRI一起进行.
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