Radiation-induced malignant fibrous histiocytoma of the brachial plexus.
Identifieur interne : 004C64 ( PubMed/Checkpoint ); précédent : 004C63; suivant : 004C65Radiation-induced malignant fibrous histiocytoma of the brachial plexus.
Auteurs : K C Gorson [États-Unis] ; S. Musaphir ; E S Lathi ; G. WolfeSource :
- Journal of neuro-oncology [ 0167-594X ] ; 1995.
Descripteurs français
- KwdFr :
- Femelle, Histiocytome fibreux bénin (anatomopathologie), Histiocytome fibreux bénin (imagerie diagnostique), Histiocytome fibreux bénin (physiopathologie), Humains, Imagerie par résonance magnétique, Nerf médian (physiopathologie), Nerf ulnaire (physiopathologie), Plexus brachial, Seconde tumeur primitive (anatomopathologie), Seconde tumeur primitive (imagerie diagnostique), Seconde tumeur primitive (physiopathologie), Sujet âgé, Tomodensitométrie, Tumeurs du sein (radiothérapie), Tumeurs du système nerveux (anatomopathologie), Tumeurs du système nerveux (imagerie diagnostique), Tumeurs du système nerveux (physiopathologie), Tumeurs radio-induites (anatomopathologie), Tumeurs radio-induites (imagerie diagnostique), Tumeurs radio-induites (physiopathologie), Électromyographie.
- MESH :
- anatomopathologie : Histiocytome fibreux bénin, Seconde tumeur primitive, Tumeurs du système nerveux, Tumeurs radio-induites.
- imagerie diagnostique : Histiocytome fibreux bénin, Seconde tumeur primitive, Tumeurs du système nerveux, Tumeurs radio-induites.
- physiopathologie : Histiocytome fibreux bénin, Nerf médian, Nerf ulnaire, Seconde tumeur primitive, Tumeurs du système nerveux, Tumeurs radio-induites.
- radiothérapie : Tumeurs du sein.
- Femelle, Humains, Imagerie par résonance magnétique, Plexus brachial, Sujet âgé, Tomodensitométrie, Électromyographie.
English descriptors
- KwdEn :
- Aged, Brachial Plexus, Breast Neoplasms (radiotherapy), Electromyography, Female, Histiocytoma, Benign Fibrous (diagnostic imaging), Histiocytoma, Benign Fibrous (pathology), Histiocytoma, Benign Fibrous (physiopathology), Humans, Magnetic Resonance Imaging, Median Nerve (physiopathology), Neoplasms, Radiation-Induced (diagnostic imaging), Neoplasms, Radiation-Induced (pathology), Neoplasms, Radiation-Induced (physiopathology), Neoplasms, Second Primary (diagnostic imaging), Neoplasms, Second Primary (pathology), Neoplasms, Second Primary (physiopathology), Nervous System Neoplasms (diagnostic imaging), Nervous System Neoplasms (pathology), Nervous System Neoplasms (physiopathology), Tomography, X-Ray Computed, Ulnar Nerve (physiopathology).
- MESH :
- diagnostic imaging : Histiocytoma, Benign Fibrous, Neoplasms, Radiation-Induced, Neoplasms, Second Primary, Nervous System Neoplasms.
- pathology : Histiocytoma, Benign Fibrous, Neoplasms, Radiation-Induced, Neoplasms, Second Primary, Nervous System Neoplasms.
- physiopathology : Histiocytoma, Benign Fibrous, Median Nerve, Neoplasms, Radiation-Induced, Neoplasms, Second Primary, Nervous System Neoplasms, Ulnar Nerve.
- radiotherapy : Breast Neoplasms.
- Aged, Brachial Plexus, Electromyography, Female, Humans, Magnetic Resonance Imaging, Tomography, X-Ray Computed.
Abstract
Brachial plexopathy is a common and disabling complication in cancer patients most often attributed to metastasis or radiation-induced fibrosis. Occasionally, other rare but potentially treatable causes are found. A 73 year old woman had a left radical mastectomy followed by radiation to the chest wall and axilla 24 years ago. She recently presented with left arm pain, chronic, nonprogressive lymphedema, profound distal arm sensory loss and progressive severe hand weakness. There was moderate atrophy of all intrinsic hand muscles, anesthesia of the hypothenar eminence and 4th and 5th digits, and no adenopathy or palpable mass in the axilla. EMG confirmed a brachial plexopathy. MRI showed loss of tissue planes consistent with radiation fibrosis, but CT showed a discrete mass in the brachial plexus. Open biopsy showed pleomorphic spindle shaped cells with immunoperoxidase stains consistent with malignant fibrous histiocytoma. Radiation-induced malignant fibrous histiocytoma may present with a brachial plexopathy in the absence of a palpable mass and should be considered in the differential diagnosis of brachial plexus lesions in cancer patients. CT scanning through the plexus may be useful when MRI is normal or equivocal.
PubMed: 8583247
Affiliations:
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pubmed:8583247Le document en format XML
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<front><div type="abstract" xml:lang="en">Brachial plexopathy is a common and disabling complication in cancer patients most often attributed to metastasis or radiation-induced fibrosis. Occasionally, other rare but potentially treatable causes are found. A 73 year old woman had a left radical mastectomy followed by radiation to the chest wall and axilla 24 years ago. She recently presented with left arm pain, chronic, nonprogressive lymphedema, profound distal arm sensory loss and progressive severe hand weakness. There was moderate atrophy of all intrinsic hand muscles, anesthesia of the hypothenar eminence and 4th and 5th digits, and no adenopathy or palpable mass in the axilla. EMG confirmed a brachial plexopathy. MRI showed loss of tissue planes consistent with radiation fibrosis, but CT showed a discrete mass in the brachial plexus. Open biopsy showed pleomorphic spindle shaped cells with immunoperoxidase stains consistent with malignant fibrous histiocytoma. Radiation-induced malignant fibrous histiocytoma may present with a brachial plexopathy in the absence of a palpable mass and should be considered in the differential diagnosis of brachial plexus lesions in cancer patients. CT scanning through the plexus may be useful when MRI is normal or equivocal.</div>
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</affiliations>
</record>
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