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A Case of Radiation-Induced Aortitis in a Patient With Cervical Cancer
Cédric Charrois-Durand1, Marie-Claude Beauchemin1, Maroie Barkati1
1Department of Radiation Oncology, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, CAN.
Abstract:
Radiation-induced aortitis is a rare but potentially serious complication of radiotherapy. We report the case of a 46-year-old female with a history of cervical cancer who developed radiation-induced aortitis following two courses of concurrent chemoradiation. The patient was asymptomatic, and the condition was detected during a routine follow-up positron emission tomography (PET) scan. The patient was referred to rheumatology for differential diagnosis, which ruled out non-radiation-induced aortitis. The condition was managed conservatively, and a follow-up computed tomography (CT) scan showed resolution of the aortitis but the progression of aorto-iliac fibrosis. The patient was then started on prednisone, which led to a regression of the aorto-iliac vessel thickening.
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