Radiotherapy of Vertebral Hemangiomas

Between 1975 and 1996, 14 patients (11 females, 3 males) with vertebral hemangioma received treatment with radiotherapy. Thirteen patients had a history of back pain or lumbago and 2 patients had neurological symptoms such as sensory impairment or paraplegia. The standard dose administered was 36 Gy...

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Veröffentlicht in:Acta oncologica 1997, Vol.36 (7), p.719-724
Hauptverfasser: Sakata, Koh-Ichi, Hareyama, Masato, Oouchi, Atushi, Sido, Mitsuo, Nagakura, Hisayasu, Tamakawa, Mituharu, Akiba, Hidenari, Morita, Kazuo
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container_end_page 724
container_issue 7
container_start_page 719
container_title Acta oncologica
container_volume 36
creator Sakata, Koh-Ichi
Hareyama, Masato
Oouchi, Atushi
Sido, Mitsuo
Nagakura, Hisayasu
Tamakawa, Mituharu
Akiba, Hidenari
Morita, Kazuo
description Between 1975 and 1996, 14 patients (11 females, 3 males) with vertebral hemangioma received treatment with radiotherapy. Thirteen patients had a history of back pain or lumbago and 2 patients had neurological symptoms such as sensory impairment or paraplegia. The standard dose administered was 36 Gy in 18 fractions (five treatments per week). In the 13 patients with pain, this was completely or partially relieved. The condition of a man with hypesthesia of the legs deteriorated and a woman with paraplegia who was treated with decompressive laminectomy followed by radiotherapy recovered completely after irradiation. CT scan before irradiation showed thickened trabeculae as small punctate areas of sclerosis in all patients. At MR imaging before irradiation, T2-weighted MR images showed areas of high intensity in all patients and MR images demonstrated lesion enhancement. However, none of the patients who were treated successfully with radiation demonstrated any changes of the affected vertebra in the conventional radiographic films, CT scan or MR imaging, even 5 years after irradiation. Radiological imaging is indispensable for the diagnosis of vertebral hemangiomas but does not appear to be useful for evaluating the effects of radiotherapy.
doi_str_mv 10.3109/02841869709001344
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Thirteen patients had a history of back pain or lumbago and 2 patients had neurological symptoms such as sensory impairment or paraplegia. The standard dose administered was 36 Gy in 18 fractions (five treatments per week). In the 13 patients with pain, this was completely or partially relieved. The condition of a man with hypesthesia of the legs deteriorated and a woman with paraplegia who was treated with decompressive laminectomy followed by radiotherapy recovered completely after irradiation. CT scan before irradiation showed thickened trabeculae as small punctate areas of sclerosis in all patients. At MR imaging before irradiation, T2-weighted MR images showed areas of high intensity in all patients and MR images demonstrated lesion enhancement. However, none of the patients who were treated successfully with radiation demonstrated any changes of the affected vertebra in the conventional radiographic films, CT scan or MR imaging, even 5 years after irradiation. Radiological imaging is indispensable for the diagnosis of vertebral hemangiomas but does not appear to be useful for evaluating the effects of radiotherapy.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Back Pain - etiology</subject><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Diseases of the respiratory system</subject><subject>Diseases of the spine</subject><subject>Female</subject><subject>Hemangioma - diagnostic imaging</subject><subject>Hemangioma - radiotherapy</subject><subject>Humans</subject><subject>Low Back Pain - etiology</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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source Taylor & Francis:Master (3349 titles); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adult
Aged
Aged, 80 and over
Back Pain - etiology
Biological and medical sciences
Diseases of the osteoarticular system
Diseases of the respiratory system
Diseases of the spine
Female
Hemangioma - diagnostic imaging
Hemangioma - radiotherapy
Humans
Low Back Pain - etiology
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Spinal Neoplasms - diagnostic imaging
Spinal Neoplasms - radiotherapy
Tomography, X-Ray Computed
title Radiotherapy of Vertebral Hemangiomas
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