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Insufficiency fractures of the sacrum after radiotherapy for gynaecological mailgnancy

Lundin, Björn LU ; Björkholm, E; Lundell, M and Jacobsson, H (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:
author
publishing date
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
2008-08-05 16:10:20
date last changed
2017-10-01 04:54:07
@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},
  keyword      = {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},
  volume       = {2},
  year         = {1990},
}