Diagnosis and treatment of lumbosacral plexopathies in patients with cancer
Eleven patients were diagnosed as having lumbosacral plexopathy at M. D. Anderson Hospital, Houston, from August 1981 through July 1982. Four causes were documented: plexopathy secondary to metastatic disease (six cases); radiation-induced plexopathy (two cases); plexopathy secondary to intra-arterial chemotherapy (two cases); and plexopathy as the result of a second primary tumor (one case). Patients with plexopathies secondary to tumor or irradiation complained of pain in the ipsilateral lower extremity. Computed tomography of the pelvis was the most accurate method of documenting tumor in the region of the lumbosacral plexus. Radiation therapy records of patients with cervical carcinoma were reviewed with respect to positioning of intracavitary radium, which was thought to be responsible for the development of radiation-induced plexopathies. Radiation therapy and/or systemic chemotherapy provided relief of pain and improvement of neurologic deficits in three patients with metastatic involvement.
- Research Organization:
- Univ. of Texas System Cancer Center, Houston
- OSTI ID:
- 5980285
- Journal Information:
- Arch. Neurol.; (United States), Vol. 41:12
- Country of Publication:
- United States
- Language:
- English
Similar Records
Differential diagnosis between radiation and tumor plexopathy of the pelvis
Development of a Standardized Method for Contouring the Lumbosacral Plexus: A Preliminary Dosimetric Analysis of this Organ at Risk Among 15 Patients Treated With Intensity-Modulated Radiotherapy for Lower Gastrointestinal Cancers and the Incidence of Radiation-Induced Lumbosacral Plexopathy
Related Subjects
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
NEOPLASMS
DIAGNOSIS
RADIOINDUCTION
RADIOTHERAPY
PELVIS
COMPUTERIZED TOMOGRAPHY
METASTASES
PATIENTS
BODY
BODY AREAS
DIAGNOSTIC TECHNIQUES
DISEASES
MEDICINE
NUCLEAR MEDICINE
RADIOLOGY
THERAPY
TOMOGRAPHY
550602* - Medicine- External Radiation in Diagnostics- (1980-)
550603 - Medicine- External Radiation in Therapy- (1980-)
560151 - Radiation Effects on Animals- Man