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一名出现上肢间歇性跛行的患者发生了乳房切除术后放射性动脉炎。

Post-mastectomy radiation arteritis in a patient presenting with upper extremity claudication.

作者信息

Schwitzer Jonathan A, Dekker Paige, Kanuri Arjun, Tirrell Abigail, Sher Sarah R

机构信息

Department of Plastic and Reconstructive Surgery, Medstar Georgetown University Hospital, Washington, DC 20008, USA.

出版信息

AME Case Rep. 2019 Dec 31;3:49. doi: 10.21037/acr.2019.11.03. eCollection 2019.

Abstract

Radiation arteritis is a rare but serious complication following radiation therapy for the treatment of breast cancer. We present the case of a 53-year-old female presenting with right upper extremity claudication 4 months following radiation therapy for the treatment of right breast cancer, stage 3b invasive ductal carcinoma. She was referred to vascular surgery and initial imaging with computed tomography angiography (CTA) revealed occlusion from the origin of the subclavian to axillary artery. We discuss the implications that these vascular findings have on potential breast reconstruction options.

摘要

放射性动脉炎是乳腺癌放疗后一种罕见但严重的并发症。我们报告了一例53岁女性患者的病例,该患者在接受右乳3b期浸润性导管癌放疗4个月后出现右上肢间歇性跛行。她被转诊至血管外科,计算机断层扫描血管造影(CTA)的初步影像显示,从锁骨下动脉起始处至腋动脉闭塞。我们讨论了这些血管检查结果对潜在乳房重建方案的影响。

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本文引用的文献

1
Radiotherapy-related axillary arteriopathy.放疗相关的腋动脉病变。
Interact Cardiovasc Thorac Surg. 2012 Jul;15(1):176-7. doi: 10.1093/icvts/ivr147. Epub 2012 Mar 28.
2
Early and late presentations of radiation arteritis.放射性动脉炎的早期和晚期表现。
Semin Vasc Surg. 2003 Sep;16(3):209-14. doi: 10.1016/s0895-7967(03)00026-7.
3
Arteritis and brachial plexus neuropathy as delayed complications of radiation therapy.
Mayo Clin Proc. 2001 Aug;76(8):849-52. doi: 10.1016/S0025-6196(11)63232-1.
5
Subclavian artery occlusion after radiotherapy for carcinoma of the breast.
Cancer. 1988 May 15;61(10):2015-8. doi: 10.1002/1097-0142(19880515)61:10<2015::aid-cncr2820611014>3.0.co;2-z.

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