Incidence and possible aetiological factors in the development of pelvic insufficiency fractures following radical radiotherapy

British Journal of Radiology - Tập 69 Số 822 - Trang 548-554 - 1996
Peter Bliss1, Christina Parsons2, P R Blake1
1Pelvic Unit, Royal Marsden Hospital , Fulham Road, London SW3 6JJ
2Radiology Department, Royal Marsden Hospital , Fulham Road, London SW3 6JJ

Tóm tắt

Abstract Five patients out of a total of 183 treated with radical radiotherapy for carcinoma of cervix at The Royal Marsden Hospital from 1991 to 1994 inclusive have developed severe pelvic fractures. Two patients had rheumatoid arthritis, one of whom died as a result of the radiation induced damage. This patient developed radiological evidence of radionecrosis within 1 month of completing radiotherapy. There are very few reports in the literature of such a rapid onset. We suggest that the presence of a connective tissue disorder in a patient with other risk factors such as steroid use, old age and osteopenia should alert the clinician to the risk of radionecrosis following radical irradiation.

Từ khóa


Tài liệu tham khảo

10.3109/00016922609139503

BRAGG D G, 1970, Radiology, 97, 103, 10.1148/97.1.103

PARSONS J T, 1994, Management of Head and Neck Cancer, ed. by, 251

WOODWARD H Q, 1938, AJR, 40, 524

HOWLAND W J, 1975, Radiology, 117, 677, 10.1148/117.3.677

10.1016/S0936-6555(05)80815-5

10.1016/S0936-6555(05)80814-3

CSUKA M, 1987, J. Rheumatol, 14, 165

10.1016/S0009-9260(89)80040-6

10.1016/S0049-0172(05)80026-5

10.1259/0007-1285-61-722-103

10.2214/ajr.142.3.581

10.2214/ajr.145.3.601

10.2214/ajr.158.3.1739002

10.3109/02841869009126547

10.1002/1097-0142(19930601)71:11<3744::AID-CNCR2820711144>3.0.CO;2-C

SMITH J, 1990, Hodgkin's Disease: The Consequences of Survival, ed. by M J Lacher and J R Redman (Lea and Febiget, 189

DOWD, 1991, J A, Orthopaedic complications of cancer management in children and adults. In Complications of Cancer Management, ed. by P N Plowman, T McElwain and A Meadows (Butterworth Heinemann, 153

Thông tin
Thông tin xuất bản

British Journal of Radiology

Tập 69 Số 822

548-554

Thông tin tác giả