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对于直肠癌的短期新辅助放射治疗后的腰椎神经病:一个病例报告

Febin Antony¹, Davyd Hooper², James Koenig³

¹Department of Radiation Oncology, Cancer Care Manitoba, Winnipeg, MB, Canada.

Journal of cancer research and therapeutics

|April 11, 2025

概括

辐射诱导的腰部神经病 (RILSP) 是用于直肠癌的盆腔放射治疗后的一种罕见并发症. 本病例报告详细介绍了新辅助短期放射治疗后RILSP的症状,诊断和治疗方法.

科学领域:

在瘤学瘤学.
神经学神经学
辐射疗法辐射疗法

背景情况:

辐射诱导的腰部神经病 (RILSP) 是盆腔放射治疗的不常见并发症.
有限的数据存在于RILSP发病率后新辅助短期放射治疗 (RT) 结直肠癌.

研究的目的:

在接受新辅助剂短期RT治疗的直肠癌患者中报告RILSP病例.
描述RILSP的临床表现,诊断工作和管理策略.

主要方法:

一名直肠癌患者使用体积调节弧线疗法接受了术前短期RT.
诊断评估包括电诊断研究,MRI,并排除其他病因.
治疗包括止痛药,物理治疗和康复.

主要成果:

患者在RT后6个月内出现下肢运动和感觉缺陷.
电子诊断研究表明双边坐骨神经受伤或腰部神经异常.
核磁共振扫描显示了与辐射有关的胀;其他诊断被排除在外,证实了RILSP.
经过两个月的治疗,症状稳定下来.

结论:

RILSP是用于直肠癌的新辅助短期RT的潜在并发症.
早期诊断和多学科管理,包括康复,对于RILP患者至关重要.

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