[Subcutaneous calcifications after radiotherapy].
A 75-year-old female patient presented with late stage cutaneous radiation syndrome, following postoperative combined radiotherapy for cervical carcinoma administered 32 years ago. She was hospitalized because of a deep abscess in the radiation-exposed area on the sacrum. Extension into the subcutaneous fibrosis was verified by 7,5-MHz-sonography and nuclear magnetic resonance imaging. With intravenous cefotiam (Spizef) 2.0 g three times daily, the inflammation decreased, as seen clinically and with nuclear magnetic resonance imaging. As a secondary finding, an unusual distinctive subcutaneous calcification was diagnosed in the radiation-exposed area by means of 7,5-MHz-sonography, as well as computer- and nuclear magnetic resonance imaging. These subcutaneous calcifications are most likely to have been radiation-induced.
Steinert
M
M
Abteilung Dermatologie, Universitätsklinikum Ulm, Oberer Eselsberg 40, 89081 Ulm.
Gottlöber
P
P
Gall
H
H
Peter
R U
RU
D000038:Abscess / Q000175:diagnosis; D000368:Aged; D002114:Calcinosis / Q000175:diagnosis*; D003131:Combined Modality Therapy; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D011855:Radiodermatitis / Q000175:diagnosis*; D012445:Sacrococcygeal Region; D012867:Skin / Q000473:pathology / Q000528:radiation effects; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy*