Insufficiency fractures of the sacrum after radiotherapy for gynaecological mailgnancy
(1990) In Acta Oncologica 2(29). p.211-215- Abstract
- An entity is described which is characterized by low back pain and increased radionuclide uptake in the sacrum at bone scintigraphy in postmenopausal women having received radiotherapy towards the pelvis because of gynaecological malignancy. The findings stimulate bone metastases, but are in all likelihood caused by insufficiency fractures of the sacrum promoted by bone weakness induced by postmenopausal osteoporosis and radiotherapy combined. The increased radionuclide activity has a characteristic appearance which in the fully developed fracture acquires the shape of an 'H'. In plain radiography, changes are absent or subtle. The proper complementary examination is CT, in which the fractures can be visualized and malignant changes... (More)
- An entity is described which is characterized by low back pain and increased radionuclide uptake in the sacrum at bone scintigraphy in postmenopausal women having received radiotherapy towards the pelvis because of gynaecological malignancy. The findings stimulate bone metastases, but are in all likelihood caused by insufficiency fractures of the sacrum promoted by bone weakness induced by postmenopausal osteoporosis and radiotherapy combined. The increased radionuclide activity has a characteristic appearance which in the fully developed fracture acquires the shape of an 'H'. In plain radiography, changes are absent or subtle. The proper complementary examination is CT, in which the fractures can be visualized and malignant changes excluded. Awareness of this benign entity is important to avoid overdiagnosis of bone metastases. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1105481
- author
- Lundin, Björn LU ; Björkholm, E ; Lundell, M and Jacobsson, H
- publishing date
- 1990
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Radiotherapy, gynaecological malignancy, pelvis, bone scintigraphy, insufficiency fracture.
- in
- Acta Oncologica
- volume
- 2
- issue
- 29
- pages
- 211 - 215
- publisher
- Taylor & Francis
- external identifiers
-
- scopus:0025261893
- ISSN
- 1651-226X
- DOI
- 10.3109/02841869009126547
- language
- English
- LU publication?
- no
- id
- 0f4c5081-8b87-4fea-b07a-24f8b7907a47 (old id 1105481)
- date added to LUP
- 2016-04-01 17:12:52
- date last changed
- 2021-07-25 03:38:31
@article{0f4c5081-8b87-4fea-b07a-24f8b7907a47,
abstract = {{An entity is described which is characterized by low back pain and increased radionuclide uptake in the sacrum at bone scintigraphy in postmenopausal women having received radiotherapy towards the pelvis because of gynaecological malignancy. The findings stimulate bone metastases, but are in all likelihood caused by insufficiency fractures of the sacrum promoted by bone weakness induced by postmenopausal osteoporosis and radiotherapy combined. The increased radionuclide activity has a characteristic appearance which in the fully developed fracture acquires the shape of an 'H'. In plain radiography, changes are absent or subtle. The proper complementary examination is CT, in which the fractures can be visualized and malignant changes excluded. Awareness of this benign entity is important to avoid overdiagnosis of bone metastases.}},
author = {{Lundin, Björn and Björkholm, E and Lundell, M and Jacobsson, H}},
issn = {{1651-226X}},
keywords = {{Radiotherapy; gynaecological malignancy; pelvis; bone scintigraphy; insufficiency fracture.}},
language = {{eng}},
number = {{29}},
pages = {{211--215}},
publisher = {{Taylor & Francis}},
series = {{Acta Oncologica}},
title = {{Insufficiency fractures of the sacrum after radiotherapy for gynaecological mailgnancy}},
url = {{http://dx.doi.org/10.3109/02841869009126547}},
doi = {{10.3109/02841869009126547}},
volume = {{2}},
year = {{1990}},
}