[Study of bone metabolism for breast cancer by MD (microdensitometry) method].

Nihon Gan Chiryo Gakkai shi Pub Date : 1990-10-20
S Suzuki, I Kimijima, M Nihei, H Mizunuma, K Kiman, Y Hatakeyama, T Nomizu, A Tsuchiya, R Abe
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Abstract

Bone is one of the involved organs of distant metastasis in breast cancer. We examined bone metabolism by microdensitometry (MD) method in 94 patients with breast cancer (40 with bone metastasis and 54 without it) and 10 with benign breast diseases. There was no significant difference among the three groups in the background factors of menopausal status and hormone receptors status. MCI, GSmin, sigma GS/D and bone pattern by MD method in breast cancer patients with bone metastasis were significantly lower than those in the other groups. There were slight reverse correlation between sigma GS/D and serum ALP. MCI and sigma GS/D indices corrected by ages were also significantly lower in bone metastasis (p less than 0.01). These indices in most of the patients with bone metastasis gradually decreased as the lesion progressed. The results revealed that microdensitometric analysis of bone metastasis for breast cancer was of use for the diagnosis and evaluation of therapeutic effect in the follow-up study.

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[MD (microdensity ometry)法研究乳腺癌骨代谢]。
骨是乳腺癌远处转移的受累器官之一。本文采用显微密度测定法对94例乳腺癌患者(伴有骨转移40例,无骨转移54例)和10例乳腺良性疾病患者进行骨代谢测定。三组间绝经状态和激素受体状态的背景因素无显著差异。乳腺癌骨转移患者的MCI、GSmin、sigma GS/D及骨模式均显著低于其他组。sigma GS/D与血清ALP呈轻微负相关。经年龄校正的MCI和sigma GS/D指数在骨转移中也显著降低(p < 0.01)。这些指标在大多数骨转移患者中随着病变的进展逐渐降低。结果表明,乳腺癌骨转移的微密度分析在随访研究中可用于诊断和评价治疗效果。
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