CAJ | 학술논문

　　目的探讨乳腺癌跟骨转移的临床特点、诊断和治疗方法。方法报道1例乳腺癌跟骨转移病例，结合文献进行回顾性分析。结果患者女性，64岁，左侧乳腺浸润性导管癌根治术后10年，发现肺转移癌1年余，出现左足部疼痛，左踝部轻度浮肿，轻度活动受限于2011年5月19日收入我院。踝关节磁共振显示左踝关节距骨及跟骨多发异常信号。结合临床表现及影像学检查诊断跟骨转移，经化疗、跟骨局部放疗及对症支持治疗后足部疼痛症状明显缓解。结论乳腺癌跟骨转移容易被误诊为炎症、外伤或痛风等，临床表现及影像学检查等有助于早期诊断，局部放疗、化疗及内分泌疗法等综合治疗有较为显著的疗效。
　　목적탐토유선암근골전이적림상특점、진단화치료방법。방법보도1례유선암근골전이병례，결합문헌진행회고성분석。결과환자녀성，64세，좌측유선침윤성도관암근치술후10년，발현폐전이암1년여，출현좌족부동통，좌과부경도부종，경도활동수한우2011년5월19일수입아원。과관절자공진현시좌과관절거골급근골다발이상신호。결합림상표현급영상학검사진단근골전이，경화료、근골국부방료급대증지지치료후족부동통증상명현완해。결론유선암근골전이용역피오진위염증、외상혹통풍등，림상표현급영상학검사등유조우조기진단，국부방료、화료급내분비요법등종합치료유교위현저적료효。
Objective To study the clinical characteristics, diagnosis and treatment of calcaneus metastasis of breast carcinoma. Methods A case of breast carcinoma calcaneus metastasis was reported and retrospectively analyzed with its related literature reviewed. Results The patient was a 64-year-old female who underwent radical surgery of left infiltrating ductal carcinoma 10 years ago. She was found to have pulmonary metastatic carcinoma for more than 1 year and admitted to our hospital on May 19, 2011 due to severe left foot pain, mild left condyle edema, and mild limited activity. MRI showed abnormal signals from ankle bone and calcaneous of her left condyle joint. Calcaneous metastasis was diagnosed by radiology. Its symptoms improved significantly after radiotherapy, chemotherapy and expectant therapy. Conclusion Calcaneous metastasis of breast cancer is easy to be misdiagnosed as inflammation, trauma or gout. Its early clinical manifestations and radiology contribute to its early diagnosis. Local radiotherapy, chemotherapy and endocrine therapy are significantly effective against it.