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Article: Sacral and pubic insufficiency fractures after irradiation of gynaecological malignancies

TitleSacral and pubic insufficiency fractures after irradiation of gynaecological malignancies
Authors
Issue Date1995
PublisherWB Saunders Co Ltd. The Journal's web site is located at http://www.elsevier.com/locate/clon
Citation
Clinical Oncology, 1995, v. 7 n. 2, p. 117-122 How to Cite?
AbstractThe association between radiotherapy and insufficiency fractures of the pelvis has not been well documented. Fractures were detected over a 2-year period in eight postmenopausal women who had previously undergone irradiation for gynaecological malignancies. Six of these patients also had local soft tissue complications, such as rectal bleeding and haematuria, in addition to severe low back, buttock or groin pain, caused by the fractures. Plain radiographs were unhelpful in the detection of sacral insufficiency fractures, but showed the pubic fractures in five patients. Diagnoses of insufficiency fractures were made on bone scintigraphic demonstration of the typical 'H' shaped sacral pattern, or the combination of the partial 'H' pattern together with pubic uptake. Computed tomography was useful for confirmation of insufficiency fractures in doubtful cases. Recognition of insufficiency fractures helps to avoid the pitfalls of misdiagnosing tumour recurrence or bony metastases.
Persistent Identifierhttp://hdl.handle.net/10722/150864
ISSN
2015 Impact Factor: 3.212
2015 SCImago Journal Rankings: 1.194

 

DC FieldValueLanguage
dc.contributor.authorPeh, WCGen_US
dc.contributor.authorKhong, PLen_US
dc.contributor.authorSham, JSTen_US
dc.contributor.authorHo, WYen_US
dc.contributor.authorYeung, HWDen_US
dc.date.accessioned2012-06-26T06:13:28Z-
dc.date.available2012-06-26T06:13:28Z-
dc.date.issued1995en_US
dc.identifier.citationClinical Oncology, 1995, v. 7 n. 2, p. 117-122en_US
dc.identifier.issn0936-6555en_US
dc.identifier.urihttp://hdl.handle.net/10722/150864-
dc.description.abstractThe association between radiotherapy and insufficiency fractures of the pelvis has not been well documented. Fractures were detected over a 2-year period in eight postmenopausal women who had previously undergone irradiation for gynaecological malignancies. Six of these patients also had local soft tissue complications, such as rectal bleeding and haematuria, in addition to severe low back, buttock or groin pain, caused by the fractures. Plain radiographs were unhelpful in the detection of sacral insufficiency fractures, but showed the pubic fractures in five patients. Diagnoses of insufficiency fractures were made on bone scintigraphic demonstration of the typical 'H' shaped sacral pattern, or the combination of the partial 'H' pattern together with pubic uptake. Computed tomography was useful for confirmation of insufficiency fractures in doubtful cases. Recognition of insufficiency fractures helps to avoid the pitfalls of misdiagnosing tumour recurrence or bony metastases.en_US
dc.languageengen_US
dc.publisherWB Saunders Co Ltd. The Journal's web site is located at http://www.elsevier.com/locate/clonen_US
dc.relation.ispartofClinical Oncologyen_US
dc.subject.meshAgeden_US
dc.subject.meshFemaleen_US
dc.subject.meshFractures, Spontaneous - Diagnosis - Etiologyen_US
dc.subject.meshGenital Neoplasms, Female - Radiotherapyen_US
dc.subject.meshHumansen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPostmenopauseen_US
dc.subject.meshPubic Bone - Radiation Effectsen_US
dc.subject.meshRadiotherapy - Adverse Effectsen_US
dc.subject.meshRadiotherapy Dosageen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshSacrum - Radiation Effectsen_US
dc.titleSacral and pubic insufficiency fractures after irradiation of gynaecological malignanciesen_US
dc.typeArticleen_US
dc.identifier.emailKhong, PL:plkhong@hkucc.hku.hken_US
dc.identifier.authorityKhong, PL=rp00467en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/S0936-6555(05)80814-3-
dc.identifier.pmid7619761-
dc.identifier.scopuseid_2-s2.0-0028932746en_US
dc.identifier.hkuros1450-
dc.identifier.volume7en_US
dc.identifier.issue2en_US
dc.identifier.spage117en_US
dc.identifier.epage122en_US
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridPeh, WCG=7101824984en_US
dc.identifier.scopusauthoridKhong, PL=7006693233en_US
dc.identifier.scopusauthoridSham, JST=7101655565en_US
dc.identifier.scopusauthoridHo, WY=25938053100en_US
dc.identifier.scopusauthoridYeung, HWD=25230600500en_US

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