Osteochondromas after Total-Body Irradiation

To the Editor: A 9-year-old boy received the diagnosis of acute biphenotypic leukemia. Once remission was induced, treatment proceeded to bone marrow transplantation with donation from the child's HLA-identical sister. The patient received total-body irradiation consisting of four fractions of...

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Veröffentlicht in:The New England journal of medicine 2011-02, Vol.364 (7), p.687-688
Hauptverfasser: Matthys, Marisa K, Benson, Jane E
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description To the Editor: A 9-year-old boy received the diagnosis of acute biphenotypic leukemia. Once remission was induced, treatment proceeded to bone marrow transplantation with donation from the child's HLA-identical sister. The patient received total-body irradiation consisting of four fractions of 300 cGy for a total dose of 1200 cGy. The patient did well initially, but at the age of 14 years, the leukemia relapsed. At the staging workup, he was found to have bilateral osteochondromas, benign tumors composed of bone projecting from endochondral bones, in the iliac wings. On the right side, one lesion had posterior projection, and on the . . .
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subjects Bone Neoplasms - diagnostic imaging
Bone Neoplasms - etiology
Child
Humans
Ilium - diagnostic imaging
Leukemia, Biphenotypic, Acute - radiotherapy
Male
Neoplasms, Radiation-Induced - diagnostic imaging
Osteochondroma - diagnostic imaging
Osteochondroma - etiology
Radiography
Recurrence
Whole-Body Irradiation - adverse effects
title Osteochondromas after Total-Body Irradiation
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