Presentation
We present a rare and interesting case of a patient previously treated with radiation therapy for acne vulgaris and who presented to us with a concurrent schwannoma and meningioma of the craniocervical junction mimicking a single mass. [ncbi.nlm.nih.gov]
Entire Body System
- Hodgkin Lymphoma
The specific features of this case report are the difficulties in diagnostics of undifferentiated spindle-cell sarcoma of the pericardium and the connection between the disease and the radiation therapy for Hodgkin's lymphoma. [ncbi.nlm.nih.gov]
Some patients who received chest radiation for Hodgkin’s lymphomas as children are developing breast cancer in their adult years. [universitycancer.com]
- Pathologist
No chronic immune suppression (HIV disease, leukemia/lymphoma, transplant of heart or kidney or liver) No lympho-vascular invasion in the primary tumor ( pathologist pathologist A doctor who specializes in identifying diseases by examining cells and tissues [merkelcell.org]
As part of the cancer care multi-disciplinary team, radiation oncologists coordinate every aspect of care, with surgeons and pathologists to help decide the best course of treatment for each patient. [memorialcare.org]
Other members of your health care team may include: Nurses Dietitians Speech language pathologists Medical oncologist Surgeon Physiotherapists Once you and your radiation oncologist have decided that you will have radiation therapy treatment, the planning [bccancer.bc.ca]
This allows pathologists to study the response, and if there is any cancer remaining, a surgeon can remove it. [headandneckcancerguide.org]
[…] treatment for resectable tumors has been surgery with postoperative radiotherapy (with 5-year survival rates ranging from 10 % to 60 %).3 The Mohs surgical technic consists in a block resection of the tumor area and a sample of the area, then immediately a pathologist [revestomatologia.sld.cu]
- Asymptomatic
There are no specific guidelines for the surveillance and management of asymptomatic carotid artery disease in cancer survivors. However, regular detailed examination for carotid bruits and neurological symptoms is recommended. [doi.org]
[…] radiation and showed a high incidence of delayed radiation effects to the brachial plexus, especially patients who received a higher radiation dose. 3 The mechanism of injury is not completely understood, but is proposed to occur in three stages: Early, asymptomatic [now.aapmr.org]
Types of hepatobiliary late effects Asymptomatic elevation of liver enzymes is the most common hepatobiliary complication. Asymptomatic elevation of liver enzymes. [cancer.gov]
- Pallor
81% of patients had reduced visual acuity, 81% had optic nerve pallor, and all had reduced visual evoked potentials in one or both eyes. [cancer.gov]
Gastrointestinal
- Steatorrhea
[…] children declined each year after treatment by several IQ points.[28] Radiation enteropathy The gastrointestinal tract can be damaged following abdominal and pelvic radiotherapy.[29] Atrophy, fibrosis and vascular changes produce malabsorption, diarrhea, steatorrhea [en.wikipedia.org]
Jaw & Teeth
- Xerostomia
Intensity-modulated radiation therapy (IMRT) is an increasingly available approach to the prevention of xerostomia. [emedicine.medscape.com]
METHODS: A Markov model was used to simulate radiation therapy-induced dysphagia and xerostomia in HNCPs. Data from the PARSPORT trial and the quality-of-life study were used as parameters. [ncbi.nlm.nih.gov]
Xerostomia (dry mouth) Radiation therapy that is delivered to the head and neck area may also result in xerostomia. Xerostomia is a chronic dry-mouth condition caused by damage to the salivary glands. [web.archive.org]
Xerostomia (dry mouth): The most common long-term side effect of radiation therapy for the treatment of head and neck cancer is xerostomia (dry mouth). It occurs when salivary glands are radiated or in the line of radiation. [headandneckcancerguide.org]
Skin
- Alopecia
As the exposure to radiation continues, however, the body begins to notice the effect of the constant damage to its cells and a few weeks into treatment side effects may include: Fatigue Local inflamed skin Alopecia These effects tend to worsen as therapy [news-medical.net]
Acceptable side affects include alopecia and hyperpigmentation of the skin and cataracts. Less acceptable effects would be nervous tissue atrophy or necrosis, bone necrosis, and skin fibrosis. [vth.vetmed.wsu.edu]
Topical application of nitroxide protects radiation-induced alopecia in guinea pigs. Int J Radiat Oncol Biol Phys. 1992; 22 :803–806. [ PubMed ] [ Google Scholar ] 23. Metz JM, Smith D, Mick R, et al. [ncbi.nlm.nih.gov]
Alopecia is also an untoward effect of radiation therapy that is frequently poorly tolerated by the patients. [scielo.isciii.es]
- Flushing
Drink plenty of fluids to flush the remaining radioactive material from the body. Avoid sexual contact. Minimize contact with infants, children, and pregnant women. [cancer.net]
Psychiatrical
- Fear
[…] daily in our radiotherapeutic work: with innovative technical equipment of the newest generation, the pooled competence and many years of experience of an exceptional medical team, constant exchange with colleagues, and an open ear for the worries and fears [radiologie-muenchen.de]
Part of the oncology team, radiation therapists must master a high level of technical knowledge and must also be able to work well with critically ill patients, understanding their needs, fears, and concerns. [laboure.edu]
Despite what many people fear, radiation therapy is relatively easy to tolerate and its side effects are limited to the treated area. [breastcancer.org]
It is next to impossible to make clear, educated decisions when you operate out of fear. [thetruthaboutcancer.com]
Neurologic
- Stroke
Here, we described an autopsied case with recurrent ischemic stroke associated with ipsilateral carotid artery stenosis several decades after neck radiation therapy. [ncbi.nlm.nih.gov]
Ischemic stroke and transient ischemic attack after head and neck radiotherapy: a review. Stroke. 2011;42:2410–8. CrossRef PubMed Google Scholar 10. Gurney JG, Ness KK, Sibley SD, et al. [doi.org]
- Confusion
Choosing between treatments is confusing, and sometimes there is no simple answer. For many patients, there are several reasonable options. [web.archive.org]
Stereotactic treatments can be confusing because many hospitals call the treatments by the name of the manufacturer rather than calling it SRS or SBRT. [en.wikipedia.org]
Radiologists are commonly confused with radiation oncologists. [cancerquest.org]
Radiation therapy (also radiotherapy or radiation oncology, sometimes abbreviated to XRT) is the medical use of ionizing radiation as part of cancer treatment to control malignant cells (not to be confused with radiology, the use of radiation in medical [helpebookhindi.wikifoundry.com]
Workup
In repeated biopsy in July 2015 histopathological workup showed a pleomorphic epitheloid tumor with small to medium sized cells expressing vimentin and melan-A while being negative for cytokeratin establishing the diagnosis of PEComa of the liver. [ncbi.nlm.nih.gov]
Treatment
The fatigue often sets in during the middle of a course of treatment and can last for weeks after treatment ends. [en.wikipedia.org]
Radiation therapy, also called radiotherapy, is the branch of medicine that deals with the treatment of cancer by delivering high-energy beams directly to a tumor, or intended target. Radiation therapy is a common form of treatment for cancer today. [patient.varian.com]
Different schedules: Some stereotactic treatments may be best given in a single session, others may be given in a few treatments over several days. [web.archive.org]
Actual treatment time for each session is typically longer than with conventional radiation therapy because of the complexity of the treatment itself. Radiation treatments given daily or multiple times a day are called fractionated treatments. [irsa.org]
ANSWER: One treatment (called a “fraction”) takes about 1 hour, from the time you get to our building, get set up, get your treatment, and exit the hospital. The actual treatment time is usually less than 5 minutes. [cancerquest.org]
Prognosis
The purpose of this study was to investigate the efficacy and safety of SBRT for lung and liver oligo-recurrent lesions and evaluate predictive factors for local control and prognosis. [ncbi.nlm.nih.gov]
Etiology
Because of uncertainty of the underlying etiology and unfamiliarity with this phenomenon, we made a clinical decision to arrange re-simulation and revise our treatment to conventional fractionated radiotherapy (CFRT). [ncbi.nlm.nih.gov]
Codes with this note are Etiology codes and must be followed by a Manifestation code or codes. External cause code See Section W88-W90, X39.0-) to identify cause MS-DRG Mapping DRG Group #073-074 - Cranial and peripheral nerve disorders with MCC. [icd.codes]
A much greater risk of a second malignancy is posed by the same etiologic and genetic mechanisms that are responsible for the primary tumor. [emedicine.medscape.com]
Epidemiology
Author information 1 a Radiation Epidemiology. 2 c Institute for Radiation Protection and Dosimetry, Brazilian Nuclear Energy Commission, Rio de Janeiro, Brazil. 3 d International Agency for Research on Cancer, Lyon, France. 4 e Clinical Research and [ncbi.nlm.nih.gov]
The Epidemiology of Nasopharyngeal Carcinoma. In: Lu J, Cooper J, Lee A, editors. Nasopharyngeal Cancer Multidisciplinary Management. Berlin: Springer-Verlag Berlin Heidelberg; 2010. p. 1–7. [pori.or.id]
It publishes all research in fields of preclinical, translational, and clinical research in cancer, from epidemiology, carcinogenesis and biology through to innovations in cancer treatment and patient care. [oncologyradiotherapy.com]
Pathophysiology
Moreover, new insights into the underlying pathophysiology have resulted in an improved understanding of mechanisms of radiation-induced bowel toxicity and in development of new diagnostic strategies and management opportunities. [ncbi.nlm.nih.gov]
Clinical Education V (4 credits) RTS 408 App Physic of Advanced Treat Tech 2 credits) RTS 410 Capstone Seminar in RT (2 credits) RTS 4000 Capstone Research Project Additional Courses – 9 Credits HS 100 Introduction to Allied Health (2 credits) HS 208 Basic Pathophysiology [gmercyu.edu]
Similarly, immune cells, and in particular, T cells, also present a paradox in the context of the pathophysiology of cardio-oncology. [doi.org]
RIP presents most commonly with nonspecific neurologic changes that can include a combination of numbness, paresthesias, pain, and weakness. 1,2 Etiology and Pathophysiology Prior to the 1960s, nervous tissue was thought to be resistant to radiation damage [now.aapmr.org]
Prevention
Various fractionation schedules can provide significant palliation of symptoms and/or prevent the morbidity of bone metastases. [ncbi.nlm.nih.gov]
Astonishingly, the method prevented the growth of cancer as effectively as regular radiation therapy and reduced the loss of healthy cells. [interestingengineering.com]
This prevents the cancer cells from growing and dividing, and leads to cell death. Radiation therapy is used to fight many types of cancer. Sometimes, radiation is the only treatment needed. [medlineplus.gov]