2006
DOI: 10.1080/02841860600658252
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Radiation induced brachial plexopathies

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Cited by 20 publications
(12 citation statements)
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“…169 The prognosis for patients with radiation-induced BPN (RIBPN), however, remains poor, with complete resolution of symptoms and the total restoration of limb function being rare. 112,114 The abdomino-visceral manifestations of late-radiation toxicity are also difficult to control. Visceral pain states present a challenge, as pain is often intertwined with physiological and functional derangement of the organ system, and many analgesic agents (such as opioids) may further contribute to this dysfunction.…”
Section: Treatment Of Pain In Cancer Survivorsmentioning
confidence: 99%
See 1 more Smart Citation
“…169 The prognosis for patients with radiation-induced BPN (RIBPN), however, remains poor, with complete resolution of symptoms and the total restoration of limb function being rare. 112,114 The abdomino-visceral manifestations of late-radiation toxicity are also difficult to control. Visceral pain states present a challenge, as pain is often intertwined with physiological and functional derangement of the organ system, and many analgesic agents (such as opioids) may further contribute to this dysfunction.…”
Section: Treatment Of Pain In Cancer Survivorsmentioning
confidence: 99%
“…111 Radiation-induced neuronal injury is characterised by its clinical heterogeneity and variable onset time; some patients experience symptoms within a year of their radiotherapy, while in others problems may occur a decade later. 112 BPN occurrence is influenced by a range of factors including dosimetry (greater dose = faster onset) 113 and age of the patient (younger patients develop symptoms more quickly). 114 Symptomatology of BPN also exhibits considerable variation with some patients experiencing sensory disturbance as their predominant symptom with minimal pain, while other patients may be afflicted by severe neuropathic pain.…”
Section: Neural Injurymentioning
confidence: 99%
“…A fibrotic mass that arises in a noncritical region is likely to have a minimal affect on a patient's quality of life. However, a fibrotic lesion around the brachial plexus might cause forearm neuropathy and lymphedema (21)(22)(23)(24), which, although not life-threatening, will affect a patient's quality of life. To prevent these sequelae, beam-shape modification and dose prescription must be done in such a way during the planning of SBRT for a tumor in the lung periphery that the beam does not pass through the areas near the subclavian and axillary regions.…”
Section: Discussionmentioning
confidence: 99%
“…The current literature on this topic is sparse, consisting mostly of case reports or series. The incidence of radiation-induced neuropathies is variable, dependent on localization of radiation focus, radiation dosage and modalities of radiation delivery (14,15).…”
Section: Incidence and Prevalencementioning
confidence: 99%