Vol 7, No 6 (2011)
Case report
Published online: 2012-02-27

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Sacral bone fracture — late side effect of radiotherapy. A case report

Jakub Pałucki
Onkol. Prak. Klin 2011;7(6):323-326.

Abstract

A case of patient with the diagnosis of uterine cervical cancer, who experienced post-treatment (radiochemotherapy) sacral bone fracture due to skeletal overloading was reported. The clinical signs appeared
32 months after completion of radiation therapy. The diagnosis was made on the basis of magnetic resonance imaging. This report emphasizes the role of diagnostic imaging in evaluation of this type of radiotherapy complication. Fractures of the pelvic bones are reported in up to 20% patients undergoing
radiotherapy for gynecological malignancy. The differential diagnosis of treatment-induced fractures and bone metastases is essential in order to provide appropriate treatment.

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