1/5. Case of radiation-induced esophageal ulcer worsened after endoscopic biopsy.Esophageal ulcer is one of the most important late complications of the esophagus treated with radiation therapy, especially with intraluminal brachytherapy. We encountered a patient with esophageal cancer treated with external radiation therapy and intraluminal brachytherapy, who developed radiation ulcer and who had severe dysphagia soon after endoscopic biopsy of the ulcer edge. A 55-year-old man was diagnosed as esophageal cancer without symptoms. He received 60 Gy/30 Fr of external radiation therapy and 12 Gy/3 Fr of intraluminal brachytherapy at a point of 5 mm in depth from the mucosa surface. He developed an asymptomatic esophageal ulcer 13 months after treatment, and endoscopic biopsy was obtained from the edge of the ulcer. Thereafter, swallowing difficulties appeared, and endoscopy revealed severe esophageal stenosis and a deep ulcer. A possibility that the biopsy contributed to worsening the ulcer can be considered. Except for cases where relapse is apparent, endoscopic biopsy is considered to be avoided.- - - - - - - - - - ranking = 1keywords = radiation-induced (Clic here for more details about this article) |
2/5. Local injections of granulocyte-macrophage colony-stimulating factor (Gm-CSF) for the treatment of radiation-induced mucosa ulcers.We report two cases illustrating how Gm-CSF can facilitate rapid and persistent healing of ulcers associated with contact radiation therapy. This simple and safe method should be proposed for the treatment of chronic ulcers that develop in a formerly radiated zone.- - - - - - - - - - ranking = 1keywords = radiation-induced (Clic here for more details about this article) |
3/5. radiation-induced solitary rectal ulcer.A case of radiation-induced solitary rectal ulcer is presented. The unusual posterior location with involvement of the internal iliac artery produced massive lower intestinal hemorrhage. Temporary control was obtained with percutaneous arterial catheter embolization, but definitive control necessitated surgical resection.- - - - - - - - - - ranking = 0.25keywords = radiation-induced (Clic here for more details about this article) |
4/5. pseudomonas endophthalmitis associated with scleral necrosis.Three cases of pseudomonas endophthalmitis associated with scleral necrosis 3 to 10 years after pterygium excision and beta irradiation are described. The value of prophylactic repair of radiation-induced scleral necrosis and early aggressive management of pseudomonas endophthalmitis are emphasized.- - - - - - - - - - ranking = 0.25keywords = radiation-induced (Clic here for more details about this article) |
5/5. Chest wall reconstruction by free latissimus dorsi flap 25 years after accidental exposure to a source of industrial irradiation.25 years after successful plastic surgical closure of a large, radiation-induced ulcer of the chest wall the patient developed recurrent ulceration and unstable scars requiring a second procedure. A quarter of a century of progress in plastic surgical procedures is demonstrated.- - - - - - - - - - ranking = 0.25keywords = radiation-induced (Clic here for more details about this article) |