Stresni zlomi medenice po zdravljenju z obsevanjem Pelvic insufficiency fractures

pregled literature

Povzetek

Stresni zlomi medenice po obsevanju so že dolgo znana posledica obsevanja tumorjev v področju medenice. Čeprav so zlasti v področju sakruma relativno pogost pojav, je njihova diagnostika zaradi nespecifičnosti simptomov težavna. V tem preglednem članku smo pregledali literaturo, ki zajema etiologijo, incidenco, dejavnike tveganja, simptome in diagnostiko ter zdravljenje in preprečevanje stresnih zlomov medenice po obsevanju. Na podlagi pridobljenih podatkov smo poskušali strniti in predstaviti najdene ugotovitve z navedenih področij, ki bi nam bile lahko v pomoč v vsakodnevni radioterapevtski klinični praksi, saj standardiziranih priporočil na tem področju nismo našli.

Abstract (Eng)

Pelvic insufficiency fractures after radiation therapy are a long-known consequence of tumour irradiation in the pelvic area. Considering their frequency, especially in the sacral region, they are still often hard to diagnose due to their unspecific manifestation. In this literature review we gathered data on the etiology, incidence rate, risk factors, symptoms, diagnostics, treatment and prevention of pelvic insufficiency fractures after radiation therapy. As we were unable to find standardized recommedations, we attempted to use the data to summarize and present conclusions that could be of use in everyday radiation therapy clinical practice.