Case report of delayed radiotherapy-related pleural effusion following chest radiotherapy for lymphoma
| Autor: | Yunxiang Zeng, Yingying Gu, Panxiao Shen, Jinlin Wang, Weizhan Luo |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Pulmonary and Respiratory Medicine
education.field_of_study medicine.medical_specialty Pleural effusion business.industry Incidence (epidemiology) medicine.medical_treatment Population Case Report medicine.disease Lymphoma Radiation exposure Radiation therapy medicine Radiology education business Complication |
| Zdroj: | Journal of Thoracic Disease. 10:E625-E629 |
| ISSN: | 2077-6624 2072-1439 |
| Popis: | Radiotherapy is one of the commonly used methods for the management of lymphoma and solid tumors and is known to be associated with various complications that usually occur in a considerable proportion of treated patients (1). Post-radiotherapy complications are typically classified into acute, subacute, and chronic. Delayed radiotherapy-related pleural effusion (DRPE), although recognized as a chronic complication, has been scarcely reported in the literature, probably due to a low occurrence rate among the relevant population. DRPE is usually atypically manifested in clinical symptoms and signs, with a greatly varied interval period from the radiation exposure to its development (2-7). The poorly-defined characteristics, the unavailability of data, such as the exact incidence of DRPE, and the absence of clearly identified diagnostic criteria pose a great challenge for clinicians to make a conclusive diagnosis of DRPE. DRPE’s occurrence may be more common than clinicians think, and it is frequently misdiagnosed; thus, it can potentially develop for up to several years after radiation exposure against a complicated background of multiple comorbidities (3,6,7). Such condition needs to be considered for disease management. In the current study, DRPE occurred in a 42-year-old woman, 25 years after undergoing radiotherapy for cervical lymphoma. This case is very rare in view of such a long interval and may therefore contribute to an improved understanding of DRPE and its accurate diagnosis and timely treatment. |
| Databáze: | OpenAIRE |
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