title: Use of Human Cadaveric Mesenchymal Stem Cells for Cell Therapy of a Chronic Radiation-Induced Skin Lesion: A Case Report.
abstract: Acute and late radiation-induced injury on skin and subcutaneous tissues are associated with substantial morbidity in radiation therapy, interventional procedures and also are of concern in the context of nuclear or radiological accidents. Pathogenesis is initiated by depletion of acutely responding epithelial tissues and damage to vascular endothelial microvessels. Efforts for medical management of severe radiation-induced lesions have been made. Nevertheless, the development of strategies to promote wound healing, including stem cell therapy, is required. From 1997 to 2014, over 248 patients were referred to the Radiopathology Committee of Hospital de Quemados del Gobierno de la Ciudad de Buenos Aires (Burns Hospital) for the diagnosis and therapy of radiation-induced localized lesions. As part of the strategies for the management of severe cases, there is an ongoing research and development protocol on 'Translational Clinical Trial phases I/II to evaluate the safety and efficacy of adult mesenchymal stem cells from bone marrow for the treatment of large burns and radiological lesions'. The object of this work was to describe the actions carried out by the Radiopathology Committee of the Burns Hospital in a chronic case with more than 30 years of evolution without positive response to conventional treatments. The approach involved the evaluation of the tissular compromise of the lesion, the prognosis and the personalized treatment, including regenerative therapy.
authors: Hospital de Quemados del Gobierno de la Ciudad de Buenos Aires, Buenos Aires, Argentina.
authors: M
authors: M
authors: Portas
authors: Servicio de Ingeniería Tisular, Medicina Regenerativa y Terapias Celulares del Centro Único de Ablación e Implantes de la provincia de Buenos Aires (CUCAIBA), Buenos Aires, Argentina.
authors: E
authors: E
authors: Mansilla
authors: Hospital de Quemados del Gobierno de la Ciudad de Buenos Aires, Buenos Aires, Argentina Servicio de Ingeniería Tisular, Medicina Regenerativa y Terapias Celulares del Centro Único de Ablación e Implantes de la provincia de Buenos Aires (CUCAIBA), Buenos Aires, Argentina.
authors: H
authors: H
authors: Drago
authors: Autoridad Regulatoria Nuclear, Buenos Aires, Argentina.
authors: D
authors: D
authors: Dubner
authors: Autoridad Regulatoria Nuclear, Buenos Aires, Argentina.
authors: A
authors: A
authors: Radl
authors: Hospital de Quemados del Gobierno de la Ciudad de Buenos Aires, Buenos Aires, Argentina.
authors: A
authors: A
authors: Coppola
authors: Autoridad Regulatoria Nuclear, Buenos Aires, Argentina mdigiorigio@arn.gob.ar.
authors: M
authors: M
authors: Di Giorgio
mesh_terms: D000273:Adipose Tissue / Q000166:cytology; D000368:Aged; D001118:Argentina; D002056:Burns / Q000628:therapy*; D002102:Cadaver; D002986:Clinical Trials as Topic; D006391:Hemangioma / Q000150:complications / Q000532:radiotherapy*; D006761:Hospitals; D006801:Humans; D008297:Male; D045164:Mesenchymal Stem Cell Transplantation / Q000379:methods*; D059630:Mesenchymal Stem Cells / Q000166:cytology; D011379:Prognosis; D011832:Radiation Injuries / Q000473:pathology / Q000628:therapy*; D011878:Radiotherapy / Q000009:adverse effects; D012867:Skin / Q000293:injuries* / Q000528:radiation effects; D014945:Wound Healing