Gemcitabine-induced radiation recall myositis

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• 作者：Joshua Adam Delavan (1)
  Junzo P. Chino (2)
  Emily N. Vinson (1)
  
  1. Department of Radiology ; Duke University Medical Center ; Box 3808 ; Durham ; NC ; 27710 ; USA
  2. Department of Radiation Oncology ; Duke University Medical Center ; Box 3085 ; Durham ; NC ; 27710 ; USA
  
• 关键词：Radiation recall ; Myositis ; Gemcitabine
• 刊名：Skeletal Radiology
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：44
• 期：3
• 页码：451-455
• 全文大小：527 KB
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• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Imaging and Radiology
  Orthopedics
  Pathology
  Nuclear Medicine
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-2161

文摘

Radiation recall is an uncommon phenomenon in which administration of a chemotherapeutic agent induces an acute inflammatory reaction in previously irradiated tissues, often weeks to years after completion of radiotherapy. This entity is well known to medical and radiation oncologists, however only three cases have been reported in radiology journals. We present a case of gemcitabine-induced radiation recall that manifested as myositis with associated dermatitis in the posterior thigh of a patient with remote history of localized radiotherapy for biopsy-proven breast cancer metastasis. We also present a brief literature review to update the topic of radiation recall in imaging, and emphasize the importance of knowledge of this phenomenon when considering the differential diagnosis of myositis/dermatitis in a patient who has received cancer treatment.