van Roermund Joep G H, de Ridder Rogier J J, Lutgens Ludy C H
Maastricht Universitair Medisch Centrum, Maastricht.
Ned Tijdschr Geneeskd. 2014;158:A7698.
This clinical lesson, based on two case histories, illustrates a complication seen after manipulation of the rectal wall in patients who have undergone radiotherapy for localised prostate cancer. Rectal bleeding, which is feared by patients, can be the first sign of radiation proctitis. Manipulation of the rectal wall, for example by taking biopsies or Argon plasma coagulation, should be done with caution and only if absolutely necessary, because it can lead to fistula formation.
本临床经验基于两个病例,阐述了局部前列腺癌放疗患者直肠壁操作后出现的一种并发症。患者所惧怕的直肠出血可能是放射性直肠炎的首个迹象。直肠壁操作,例如取活检或氩等离子体凝固术,应谨慎进行,且仅在绝对必要时进行,因为这可能导致瘘管形成。