Radiation-Induced Sarcoma following Prolonged Coronary Stent Placement
Radiation exposure for the average coronary stent placement varies based on a number of factors but typically amounts to 6–11 mSv per patient (compared to 3 mSv background). As with all procedures which utilize radiation, there is an inherent risk of genetic mutation and the possible development of...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2018/2903801 |
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| _version_ | 1832545759067635712 |
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| author | Eric J. Vick Christopher T. Clark James M. Lewis |
| author_facet | Eric J. Vick Christopher T. Clark James M. Lewis |
| author_sort | Eric J. Vick |
| collection | DOAJ |
| description | Radiation exposure for the average coronary stent placement varies based on a number of factors but typically amounts to 6–11 mSv per patient (compared to 3 mSv background). As with all procedures which utilize radiation, there is an inherent risk of genetic mutation and the possible development of malignancy. Here, we present the case of a 75-year-old male who presented with an exophytic mass on his back following prolonged coronary catheterization with a radiation burn seven years prior. Biopsy of the lesion revealed the mass was consistent with an undifferentiated pleomorphic sarcoma emanating from the site of the radiation burn. After staging studies demonstrated no evidence of metastatic disease, radical excision with negative margins was performed. This case demonstrates that despite the rarity of radiation injury, each incidence necessitates strict monitoring of radiation exposure and continual follow-up due to the risk of malignancy. |
| format | Article |
| id | doaj-art-03de7a4f5cd64acc8dd406a1714b3c49 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-03de7a4f5cd64acc8dd406a1714b3c492025-02-03T07:24:42ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/29038012903801Radiation-Induced Sarcoma following Prolonged Coronary Stent PlacementEric J. Vick0Christopher T. Clark1James M. Lewis2College of Medicine, The University of Tennessee Health Science Center, Memphis, TN, USADepartment of Pathology, University of Tennessee Medical Center, Knoxville, TN, USADepartment of Surgical Oncology, University of Tennessee Medical Center, Knoxville, TN, USARadiation exposure for the average coronary stent placement varies based on a number of factors but typically amounts to 6–11 mSv per patient (compared to 3 mSv background). As with all procedures which utilize radiation, there is an inherent risk of genetic mutation and the possible development of malignancy. Here, we present the case of a 75-year-old male who presented with an exophytic mass on his back following prolonged coronary catheterization with a radiation burn seven years prior. Biopsy of the lesion revealed the mass was consistent with an undifferentiated pleomorphic sarcoma emanating from the site of the radiation burn. After staging studies demonstrated no evidence of metastatic disease, radical excision with negative margins was performed. This case demonstrates that despite the rarity of radiation injury, each incidence necessitates strict monitoring of radiation exposure and continual follow-up due to the risk of malignancy.http://dx.doi.org/10.1155/2018/2903801 |
| spellingShingle | Eric J. Vick Christopher T. Clark James M. Lewis Radiation-Induced Sarcoma following Prolonged Coronary Stent Placement Case Reports in Surgery |
| title | Radiation-Induced Sarcoma following Prolonged Coronary Stent Placement |
| title_full | Radiation-Induced Sarcoma following Prolonged Coronary Stent Placement |
| title_fullStr | Radiation-Induced Sarcoma following Prolonged Coronary Stent Placement |
| title_full_unstemmed | Radiation-Induced Sarcoma following Prolonged Coronary Stent Placement |
| title_short | Radiation-Induced Sarcoma following Prolonged Coronary Stent Placement |
| title_sort | radiation induced sarcoma following prolonged coronary stent placement |
| url | http://dx.doi.org/10.1155/2018/2903801 |
| work_keys_str_mv | AT ericjvick radiationinducedsarcomafollowingprolongedcoronarystentplacement AT christophertclark radiationinducedsarcomafollowingprolongedcoronarystentplacement AT jamesmlewis radiationinducedsarcomafollowingprolongedcoronarystentplacement |