Unusual radiologic findings in the thorax after radiation therapy

Details

Serval ID
serval:BIB_BCAAC759535D
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Unusual radiologic findings in the thorax after radiation therapy
Journal
Radiographics
Author(s)
Mesurolle  B., Qanadli  S. D., Merad  M., Mignon  F., Baldeyrou  P., Tardivon  A., Lacombe  P., Vanel  D.
ISSN
0271-5333
Publication state
Published
Issued date
02/2000
Peer-reviewed
Oui
Volume
20
Number
1
Pages
67-81
Notes
Review
Mesurolle, B
Qanadli, S D
Merad, M
Mignon, F
Baldeyrou, P
Tardivon, A
Lacombe, P
Vanel, D
United states
Radiographics : a review publication of the Radiological Society of North America, Inc
Radiographics. 2000 Jan-Feb;20(1):67-81. --- Old month value: Jan-Feb
Abstract
Radiation therapy is used to treat many intrathoracic and chest wall malignancies. A variety of changes may occur after radiation therapy to the thorax. Radiation therapy produces dramatic effects in the lung. Pulmonary necrosis is an uncommon, severe, late complication of adjuvant postoperative radiation therapy. Bronchiolitis obliterans with organizing pneumonia is a distinct clinicopathologic entity characterized by patchy, migratory, peripheral air-space infiltrates. Radiation therapy can also cause spontaneous pneumothorax, mesothelioma, and lung cancer. In the mediastinum, radiation therapy may cause thymic cysts, calcified lymph nodes, and esophageal injuries. Cardiovascular complications of radiation therapy are often delayed and insidious. Premature coronary artery stenosis occurs after radiation therapy to the mediastinum. Radiation therapy may also give rise to calcifications of the ascending aorta, pericardial disease, valvular injuries, and conduction abnormalities. Women who undergo thoracic irradiation before the age of 30 years have a high risk of developing a second breast cancer. Radiation-induced sarcomas are an infrequent but well-recognized complication of radiation therapy. Other chest wall injuries due to radiation therapy are osteochondroma and rib or clavicle fractures. Knowledge of the imaging features of injuries caused by radiation therapy can prevent misinterpretation as recurrent tumor and may facilitate further treatment.
Keywords
Bone and Bones/radiation effects/radiography Diagnosis, Differential Esophagus/radiography Humans Mediastinum/radiation effects/radiography Neoplasm Recurrence, Local/radiography Radiation Injuries/*radiography Thoracic Neoplasms/radiography/*radiotherapy Thorax/*radiation effects *Tomography, X-Ray Computed
Pubmed
Web of science
Create date
09/04/2008 16:13
Last modification date
20/08/2019 15:30
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