[Defects in medical care delivery to patients with lung and breast cancer undergoing radiotherapy].
Patients aged 55 and 63 years received extracorporeal 30 and 40 Gy gamma-therapy for lung cancer, respectively. Two and 60 days after irradiation, respectively, the patients developed arrosive pulmonary hemorrhage with lethal outcomes. Forensic medical examination in both cases has detected acute radiation pneumonitis with impairment of pulmonary artery endothelium that provoked hemorrhage. The literature review covers acute and chronic lesions of the lungs in radiotherapy of lung and breast tumors.
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D001943:Breast Neoplasms / Q000473:pathology / Q000532:radiotherapy*; D003695:Delivery of Health Care / Q000331:legislation & jurisprudence; D017809:Fatal Outcome; D005260:Female; D049429:Forensic Pathology; D006801:Humans; D007238:Infarction / Q000209:etiology / Q000473:pathology; D008168:Lung / Q000098:blood supply / Q000473:pathology; D008175:Lung Neoplasms / Q000473:pathology / Q000532:radiotherapy*; D008297:Male; D008875:Middle Aged; D017564:Radiation Pneumonitis / Q000209:etiology / Q000473:pathology*; D011878:Radiotherapy / Q000009:adverse effects*; D012771:Shock, Hemorrhagic / Q000209:etiology / Q000473:pathology