%0 Journal Article
%T Insufficiency fractures following pelvic radiotherapy of gynecologic malignancies
%A Sevim £¿ZDEM£¿R
%A Beyza AYKUT
%A Eda £¿ZER
%A Arzu ERGEN
%J Turkish Journal of Oncology
%D 2012
%I KARE Publishing
%X 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.
%K External pelvic radiotherapy
%K gynecologic malignancy
%K pelvic pain.
%U http://onkder.org/pdf.php3?id=829