Radiation pneumonitis complicating mediastinal radiotherapy postpneumonectomy

Radiation pneumonitis is a well-characterized clinicopathological syndrome. The severity of radiation-induced lung injury correlates, among other factors, with the extent of lung volume incorporated within the field of radiation. The present article describes the cases of two patients with radiation...

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Veröffentlicht in:The European respiratory journal 1996-12, Vol.9 (12), p.2697-2699
Hauptverfasser: Shulimzon, T, Apter, S, Weitzen, R, Yellin, A, Brenner, HJ, Wollner, A
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container_end_page 2699
container_issue 12
container_start_page 2697
container_title The European respiratory journal
container_volume 9
creator Shulimzon, T
Apter, S
Weitzen, R
Yellin, A
Brenner, HJ
Wollner, A
description Radiation pneumonitis is a well-characterized clinicopathological syndrome. The severity of radiation-induced lung injury correlates, among other factors, with the extent of lung volume incorporated within the field of radiation. The present article describes the cases of two patients with radiation pneumonitis following pneumonectomy and mediastinal radiotherapy. Postpneumonectomy pulmonary-mediastinal shift of the remaining lung towards the operated side, with inclusion of lung parenchyma within the "mediastinal" radiation portals, resulted in a substantial (albeit clinically unsuspected) radiation pneumonitis. Chest computed tomography in the postpneumonectomy patient may be helpful to evaluate the degree of pulmonary-mediastinal shift and optimization of the radiotherapy field.
doi_str_mv 10.1183/09031936.96.09122697
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Biological and medical sciences
Combined Modality Therapy
Female
Humans
Lung Neoplasms - radiotherapy
Lung Neoplasms - surgery
Male
Medical sciences
Middle Aged
Pneumology
Pneumonectomy
Radiation Pneumonitis - diagnostic imaging
Radiation Pneumonitis - etiology
Radiotherapy Dosage
Tomography, X-Ray Computed
Tumors of the respiratory system and mediastinum
title Radiation pneumonitis complicating mediastinal radiotherapy postpneumonectomy
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