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Pattern of Tumour Spread of Common Primary Tumours as Seen on Magnetic Resonance Imaging.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Tarnoki, David Laszlo Tarnoki, Adam Domonkos Ohlmann-Knafo, Susanne Pickuth, Dirk
Description	Country affiliation: Germany Author Affiliation: Tarnoki DL ( Department of Diagnostic and Interventional Radiology, Academic Teaching Hospital of Saarland University, Caritasklinikum Saarbrücken St. Theresia, Rheinstraße 2, D-66113, Saarbrücken, Germany. tarnoki4@gmail.com.); Tarnoki AD ( Department of Radiology and Oncotherapy, Semmelweis University, Budapest, Hungary. tarnoki4@gmail.com.); Ohlmann-Knafo S ( Department of Diagnostic and Interventional Radiology, Academic Teaching Hospital of Saarland University, Caritasklinikum Saarbrücken St. Theresia, Rheinstraße 2, D-66113, Saarbrücken, Germany.); Pickuth D ( Department of Radiology and Oncotherapy, Semmelweis University, Budapest, Hungary.)
Abstract	Although some reports with computed tomography and bone scintigraphy are available in the literature, the distinct epidemiologic description of skeletal metastatic pattern of various tumors is still lacking. This study uses a novel approach to identify skeletal metastases from magnetic resonance imaging (MRI) data to describe metastatic pattern in common malignancies. A retrospective analysis of 130 cancer patients (42 lung, 56 breast, 11 prostate cancers; 21 multiple myeloma) with vertebral metastases and without disseminated disease, and whom underwent a whole body 3Tesla MRI investigation (Discovery MR750w), was carried out. Multiple myeloma had the most commonly disseminated metastatic disease (95%) compared to lung (28%), breast (44%) and prostate (71%) cancers. Lung cancer was related to more frequent pedicle involvement compared to breast or prostate cancer (29, 9 and 0%, p < 0.05). Pathologic fracture was mainly associated with multiple myeloma (43%). The prevalence of lung cancer metastases was more frequent in the lumbal spine (81%), as well as particular in C7, D7, D8, D9 and L1, compared to breast cancers. Most differences among tumors were detected in the extravertebral osseous metastatic pattern (p < 0.05). The highest frequency of extravertebral skeletal metastases was present in multiple myeloma (28 to 76%). Brain metastasis was more frequent in lung cancer compared to breast cancers (35% vs. 17%, p < 0.05). Significant differences in the skeletal metastatic pattern among common malignancies were demonstrated with MRI.
File Format	HTM / HTML
ISSN	12194956
Issue Number	1
Volume Number	22
e-ISSN	15322807
Journal	Pathology & Oncology Research
Language	English
Publisher	Springer
Publisher Date	2016-01-01
Publisher Place	Netherlands
Access Restriction	Subscribed
Subject Keyword	Discipline Oncology Bone Neoplasms Secondary Image Processing, Computer-assisted Methods Magnetic Resonance Imaging Muscle, Skeletal Pathology Neoplasms Aged Female Follow-up Studies Humans Male Neoplasm Staging Prognosis Retrospective Studies Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Cancer Research Pathology and Forensic Medicine Oncology

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