[Humeral head necrosis following irradiation of breast carcinoma. A case report].
Radiation-induced osteoradionecrosis of the ribs and brachial plexus lesions following irradiation of breast cancer patients are well known phenomena and have been reported several times in the literature. Damage to the shoulder joint after irradiation is uncommon. The case of a 75-year-old woman with breast cancer is described; she first developed a brachial plexopathy and then necrosis of the head of humerus after therapy with combined ortho-voltage and high-voltage radiation. The differential diagnosis and possible pathogenetic mechanisms are discussed.
Schulte
R W
RW
Institut für Strahlentherapie und spezielle Onkologie, Medizinische Hochschule Hannover.
Adamietz
I A
IA
Renner
K
K
Falkenreck
I
I
D002293:Adenocarcinoma, Scirrhous / Q000532:radiotherapy*; D001943:Breast Neoplasms / Q000532:radiotherapy*; D005260:Female; D006801:Humans; D006811:Humerus / Q000000981:diagnostic imaging; D008875:Middle Aged; D010025:Osteoradionecrosis / Q000000981:diagnostic imaging / Q000209:etiology*; D011832:Radiation Injuries / Q000209:etiology*; D011859:Radiography; D011877:Radionuclide Imaging; D011882:Radiotherapy, High-Energy / Q000009:adverse effects*
Humeruskopfnekrose beim nachbestrahlten Mammakarzinom. Ein Fallbericht.