Abstract:
Bony metastasis is one of the most common causes of death in patients with proven cancer, most of the patients present
by pathological fracture, and carry poor prognosis. The bone scan is the main investigation for diagnosis. Our objective is to
determine the most common cancer that causes metastasis, the commonest site involved in the skeleton, and the metastatic
pattern for each cancer. We studied 150 cases collected in tumor therapy and cancer research centers, those who underwent
bone scans using a gamma camera. The most age of our patients ranged between (40 and 60) years old. The predominance of
females was noticed (68.7%). 90% of the patients were married. The study showed that 35.3% with left breast cancer, 20% with
right breast cancer, and 22% with prostate cancer. The study showed that 40% of the participants had bone metastasis, 41.7%
with prostate cancer, 21.7% with left breast cancer, and 16.7% with right breast cancer. The study showed that the lumber vertebra
involved in 51.7% of bone metastasis, thoracic vertebra involved in (50%) with bone metastasis, the anterior ribs involved in 28.3%
with bone metastasis, while posterior ribs in 25%, the right femur involved in 28.3 while the left femur engaged in 25% of bone
metastasis and 25% metastasis to the skull. About 40% of the patients had bony metastasis. Breast and prostate are the most
common cancers that cause bony metastasis. The spine is the most common site for metastasis. Prostate cancer metastasized
mainly to the spine followed by the femur, ribs, skull, and shoulders
Keywords: bony metastasis, bone scan, cancer patient, Shendi –Sudan
Description:
Bony metastasis is one of the most common causes of death in patients with proven cancer, most of the patients present
by pathological fracture, and carry poor prognosis. The bone scan is the main investigation for diagnosis. Our objective is to
determine the most common cancer that causes metastasis, the commonest site involved in the skeleton, and the metastatic
pattern for each cancer. We studied 150 cases collected in tumor therapy and cancer research centers, those who underwent
bone scans using a gamma camera. The most age of our patients ranged between (40 and 60) years old. The predominance of
females was noticed (68.7%). 90% of the patients were married. The study showed that 35.3% with left breast cancer, 20% with
right breast cancer, and 22% with prostate cancer. The study showed that 40% of the participants had bone metastasis, 41.7%
with prostate cancer, 21.7% with left breast cancer, and 16.7% with right breast cancer. The study showed that the lumber vertebra
involved in 51.7% of bone metastasis, thoracic vertebra involved in (50%) with bone metastasis, the anterior ribs involved in 28.3%
with bone metastasis, while posterior ribs in 25%, the right femur involved in 28.3 while the left femur engaged in 25% of bone
metastasis and 25% metastasis to the skull. About 40% of the patients had bony metastasis. Breast and prostate are the most
common cancers that cause bony metastasis. The spine is the most common site for metastasis. Prostate cancer metastasized
mainly to the spine followed by the femur, ribs, skull, and shoulders
Keywords: bony metastasis, bone scan, cancer patient, Shendi –Sudan
