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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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></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">8583247</PMID><DateCreated><Year>1996</Year><Month>03</Month><Day>21</Day></DateCreated><DateCompleted><Year>1996</Year><Month>03</Month><Day>21</Day></DateCompleted><DateRevised><Year>2017</Year><Month>08</Month><Day>16</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0167-594X</ISSN><JournalIssue CitedMedium="Print"><Volume>26</Volume><Issue>1</Issue><PubDate><Year>1995</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Journal of neuro-oncology</Title><ISOAbbreviation>J. Neurooncol.</ISOAbbreviation></Journal><ArticleTitle>Radiation-induced malignant fibrous histiocytoma of the brachial plexus.</ArticleTitle><Pagination><MedlinePgn>73-7</MedlinePgn></Pagination><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gorson</LastName><ForeName>K C</ForeName><Initials>KC</Initials><AffiliationInfo><Affiliation>Division of Neurology, St. Elizabeth's Medical Center, Tufts University School of Medicine, Boston, MA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Musaphir</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Lathi</LastName><ForeName>E S</ForeName><Initials>ES</Initials></Author><Author ValidYN="Y"><LastName>Wolfe</LastName><ForeName>G</ForeName><Initials>G</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Neurooncol</MedlineTA><NlmUniqueID>8309335</NlmUniqueID><ISSNLinking>0167-594X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Neurology. 1981 Jan;31(1):45-50</RefSource><PMID Version="1">6256684</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cancer. 1978 Jul;42(1):118-24</RefSource><PMID Version="1">208746</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Radiology. 1985 Sep;156(3):721-6</RefSource><PMID Version="1">4023233</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int Surg. 1990 Jan-Mar;75(1):63-6</RefSource><PMID Version="1">2156782</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cancer. 1970 Aug;26(2):394-403</RefSource><PMID Version="1">5271210</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Magn Reson Imaging. 1994 Jan-Feb;4(1):13-8</RefSource><PMID Version="1">8148550</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Radiology. 1970 Sep;96(3):593-602</RefSource><PMID Version="1">4318506</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Neurol. 1980 Apr;7(4):311-8</RefSource><PMID Version="1">7377756</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Neurology. 1989 Apr;39(4):502-6</RefSource><PMID Version="1">2538777</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Radiology. 1988 Apr;167(1):161-5</RefSource><PMID Version="1">3347719</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cancer Invest. 1985;3(6):507-13</RefSource><PMID Version="1">3002563</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Arch Neurol. 1972 Aug;27(2):109-17</RefSource><PMID Version="1">4339239</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Surgery. 1977 Apr;81(4):421-5</RefSource><PMID Version="1">191947</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cancer. 1978 Jun;41(6):2250-66</RefSource><PMID Version="1">207408</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Neurology. 1995 Mar;45(3 Pt 1):421-7</RefSource><PMID Version="1">7898688</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Anesthesiology. 1965 Mar-Apr;26:190-4</RefSource><PMID Version="1">14261054</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Clin Pathol. 1970 Mar;53(3):407-12</RefSource><PMID Version="1">4313647</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cancer. 1948 May;1(1):3-29</RefSource><PMID Version="1">18867438</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cancer. 1980 Mar 15;45(6):1419-23</RefSource><PMID Version="1">6244081</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cancer. 1976 Feb;37(2 Suppl):1102-10</RefSource><PMID Version="1">766955</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Surg. 1982 Sep;196(3):305-15</RefSource><PMID Version="1">7114936</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Neurology. 1983 Dec;33(12 ):1553-7</RefSource><PMID Version="1">6316204</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001917" MajorTopicYN="Y">Brachial Plexus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000532" MajorTopicYN="N">radiotherapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004576" MajorTopicYN="N">Electromyography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018219" MajorTopicYN="N">Histiocytoma, Benign Fibrous</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008279" MajorTopicYN="N">Magnetic Resonance Imaging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008475" MajorTopicYN="N">Median Nerve</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009381" MajorTopicYN="N">Neoplasms, Radiation-Induced</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016609" MajorTopicYN="N">Neoplasms, Second Primary</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009423" MajorTopicYN="N">Nervous System Neoplasms</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014057" MajorTopicYN="N">Tomography, X-Ray Computed</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014459" MajorTopicYN="N">Ulnar Nerve</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1995</Year><Month>10</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1995</Year><Month>10</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1995</Year><Month>10</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">8583247</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Massachusetts</li></region></list><tree><noCountry><name sortKey="Lathi, E S" sort="Lathi, E S" uniqKey="Lathi E" first="E S" last="Lathi">E S Lathi</name><name sortKey="Musaphir, S" sort="Musaphir, S" uniqKey="Musaphir S" first="S" last="Musaphir">S. Musaphir</name><name sortKey="Wolfe, G" sort="Wolfe, G" uniqKey="Wolfe G" first="G" last="Wolfe">G. Wolfe</name></noCountry><country name="États-Unis"><region name="Massachusetts"><name sortKey="Gorson, K C" sort="Gorson, K C" uniqKey="Gorson K" first="K C" last="Gorson">K C Gorson</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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