Insufficiency fractures following pelvic radiotherapy of gynecologic malignancies Jinekolojik malignite tanılı hastalarda pelvik radyoterapi sonrası yetersizlik kırıǧı oluşumu

Özdemir S., Aykut B., Özer E., Ergen A. , Kantarci F., Şahinler İ.

Turk Onkoloji Dergisi, vol.27, no.2, pp.62-66, 2012 (Journal Indexed in SCI Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 27 Issue: 2
  • Publication Date: 2012
  • Doi Number: 10.5505/tjoncol.2012.626
  • Title of Journal : Turk Onkoloji Dergisi
  • Page Numbers: pp.62-66


OBJECTIVES In this article, insufficiency fractures (IF) after pelvic radiotherapy were examined. METHODS We studied nine gynecologic malignancy patients who underwent pelvic radiotherapy. Patients' ages, menopausal status, external pelvic radiotherapy dose, IF localization area and development time, treatment, and treatment response time were investigated. RESULTS The mean age was 54 years. Five patients were postmenopausal, and five patients had osteoporosis. The mean follow-up and development period of IF were 49 and 26.8 months, respectively. The IF field was located in the sacrum in 8 patients and the sacroiliac joint in 1 patient. Pelvic pain was the initial complaint in 8 patients. One patient was asymptomatic. IF formation time ranged from 6-156 months. After symptomatic medical therapy and resting, the visual analogue scale (VAS) score decreased from 7 initially to 2. Treatment response time was 3.4 months. CONCLUSION IF should be considered as a late complication of external radiotherapy in patients experiencing pelvic pain after pelvic radiotherapy. © 2012 Association of Oncology.