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宫颈癌放疗后骶丛神经损伤

Sacral plexus injury after radiotherapy for carcinoma of cervix.

作者信息

Stryker J A, Sommerville K, Perez R, Velkley D E

机构信息

Department of Radiology, Milton S. Hershey Medical Center, Pennsylvania State University, Hershey 17033.

出版信息

Cancer. 1990 Oct 1;66(7):1488-92. doi: 10.1002/1097-0142(19901001)66:7<1488::aid-cncr2820660709>3.0.co;2-y.

DOI:10.1002/1097-0142(19901001)66:7<1488::aid-cncr2820660709>3.0.co;2-y
PMID:2169990
Abstract

A 42-year-old woman developed lower extremity weakness and sensory loss 1 year after external and intracavitary radiotherapy for Stage IB carcinoma of cervix. She has been followed for 5 years posttreatment, and the neurologic abnormalities have persisted, but no evidence of recurrent carcinoma has been found. We believe this to be a rare case of sacral plexus radiculopathy developing as a late complication after radiotherapy. Suggestions are made for improving the radiotherapy technique to prevent this complication in future cases.

摘要

一名42岁女性在接受宫颈癌IB期体外和腔内放疗1年后出现下肢无力和感觉丧失。治疗后她已被随访5年,神经学异常持续存在,但未发现复发癌的证据。我们认为这是一例放疗后作为晚期并发症发生的骶丛神经根病罕见病例。针对改进放疗技术以预防未来病例出现这种并发症提出了建议。

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Sacral plexus injury after radiotherapy for carcinoma of cervix.宫颈癌放疗后骶丛神经损伤
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Case report: radiation-induced lumbosacral plexopathy - a very late complication of radiotherapy for cervical cancer.病例报告:放疗引起的腰骶丛神经病——宫颈癌放疗的极晚期并发症。
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引用本文的文献

1
Case report: radiation-induced lumbosacral plexopathy - a very late complication of radiotherapy for cervical cancer.病例报告:放疗引起的腰骶丛神经病——宫颈癌放疗的极晚期并发症。
BMC Neurol. 2022 Dec 12;22(1):475. doi: 10.1186/s12883-022-03013-5.
2
Lumbosacral plexopathy: A rare long term complication of concomitant chemo-radiation for cervical cancer.腰骶丛神经病:一种宫颈癌同步放化疗罕见的长期并发症。
Gynecol Oncol Res Pract. 2015 Dec 4;2:12. doi: 10.1186/s40661-015-0019-9. eCollection 2015.
3
Dose delivered to the lumbosacral plexus from high-dose-rate brachytherapy for cervical cancer.
宫颈癌高剂量率近距离放疗时腰骶丛所接受的剂量。
Int J Gynecol Cancer. 2015 Jun;25(5):897-902. doi: 10.1097/IGC.0000000000000427.
4
Lumbosacral plexus delineation, dose distribution, and its correlation with radiation-induced lumbosacral plexopathy in cervical cancer patients.宫颈癌患者腰骶丛的勾画、剂量分布及其与放射性腰骶丛病的相关性
Onco Targets Ther. 2014 Dec 23;8:21-7. doi: 10.2147/OTT.S71086. eCollection 2015.
5
PrediQt-Cx: post treatment health related quality of life prediction model for cervical cancer patients.PrediQt-Cx:宫颈癌患者治疗后健康相关生活质量预测模型。
PLoS One. 2014 Feb 26;9(2):e89851. doi: 10.1371/journal.pone.0089851. eCollection 2014.
6
Radiotherapy-induced lumbosacral plexopathy in a patient with cervical cancer: a case report and literature review.宫颈癌患者放疗诱发腰骶丛神经病:一例报告及文献复习
Contemp Oncol (Pozn). 2012;16(2):194-6. doi: 10.5114/wo.2012.28805. Epub 2012 May 29.