The risk factors of bone metastases in patients with lung cancer
Abstract The risk factors of bone metastasis in patients with lung cancer are still unclear. Here, a retrospective study including a series of consecutive patients who were diagnosed with lung cancer between January 2005 and November 2016 was carried out. A total of 2021 patients with lung cancer we...
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Nature Portfolio
2017
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oai:doaj.org-article:fd2913af340e434ca17613f477908a662021-12-02T15:05:56ZThe risk factors of bone metastases in patients with lung cancer10.1038/s41598-017-09650-y2045-2322https://doaj.org/article/fd2913af340e434ca17613f477908a662017-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-09650-yhttps://doaj.org/toc/2045-2322Abstract The risk factors of bone metastasis in patients with lung cancer are still unclear. Here, a retrospective study including a series of consecutive patients who were diagnosed with lung cancer between January 2005 and November 2016 was carried out. A total of 2021 patients with lung cancer were included in this study and 23.9% of them were found to be bone metastases. For patients with bone metastases, adenocarcinoma (62.1%) was the most common pathological subtype, and rib (62.3%) was the most frequent distant metastatic site, followed by thoracic (53.8%) and lumbar spine (40.4%). The histopathologic type, CA-125 level and the concentration of alkaline phosphatase (ALP) were identified as the independent risk factors for bone metastases in lung cancer (P = 0.002, P = 0.001 and P < 0.001). The sensitivities and specificities of diagnosing bone metastasis by CA-125 were 32.1% and 80.8%, and by ALP were 41.3% and 77.1%, respectively. Thus, the incidence of bone metastases in lung cancer patients was relative high, and physicians should pay attention to the histopathologic type, the serum CA-125 and ALP concentrations when patients were firstly diagnosed with lung cancer for early detecting bone metastases.Yang ZhouQing-Fu YuAi-Fen PengWei-Lai TongJia-Ming LiuZhi-Li LiuNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-6 (2017) |
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Medicine R Science Q Yang Zhou Qing-Fu Yu Ai-Fen Peng Wei-Lai Tong Jia-Ming Liu Zhi-Li Liu The risk factors of bone metastases in patients with lung cancer |
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Abstract The risk factors of bone metastasis in patients with lung cancer are still unclear. Here, a retrospective study including a series of consecutive patients who were diagnosed with lung cancer between January 2005 and November 2016 was carried out. A total of 2021 patients with lung cancer were included in this study and 23.9% of them were found to be bone metastases. For patients with bone metastases, adenocarcinoma (62.1%) was the most common pathological subtype, and rib (62.3%) was the most frequent distant metastatic site, followed by thoracic (53.8%) and lumbar spine (40.4%). The histopathologic type, CA-125 level and the concentration of alkaline phosphatase (ALP) were identified as the independent risk factors for bone metastases in lung cancer (P = 0.002, P = 0.001 and P < 0.001). The sensitivities and specificities of diagnosing bone metastasis by CA-125 were 32.1% and 80.8%, and by ALP were 41.3% and 77.1%, respectively. Thus, the incidence of bone metastases in lung cancer patients was relative high, and physicians should pay attention to the histopathologic type, the serum CA-125 and ALP concentrations when patients were firstly diagnosed with lung cancer for early detecting bone metastases. |
format |
article |
author |
Yang Zhou Qing-Fu Yu Ai-Fen Peng Wei-Lai Tong Jia-Ming Liu Zhi-Li Liu |
author_facet |
Yang Zhou Qing-Fu Yu Ai-Fen Peng Wei-Lai Tong Jia-Ming Liu Zhi-Li Liu |
author_sort |
Yang Zhou |
title |
The risk factors of bone metastases in patients with lung cancer |
title_short |
The risk factors of bone metastases in patients with lung cancer |
title_full |
The risk factors of bone metastases in patients with lung cancer |
title_fullStr |
The risk factors of bone metastases in patients with lung cancer |
title_full_unstemmed |
The risk factors of bone metastases in patients with lung cancer |
title_sort |
risk factors of bone metastases in patients with lung cancer |
publisher |
Nature Portfolio |
publishDate |
2017 |
url |
https://doaj.org/article/fd2913af340e434ca17613f477908a66 |
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