1
|
Chao HH, Feld EK, Narayan V, Sebro R, Jones JA. Radiation Recall Myositis After Carboplatin/Docetaxel Chemotherapy. Pract Radiat Oncol 2020; 10:e50-e52. [DOI: 10.1016/j.prro.2019.07.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2019] [Revised: 07/05/2019] [Accepted: 07/08/2019] [Indexed: 11/29/2022]
|
2
|
Ravishankar A, Park SS, Olivier KR, Corbin KS. Gemcitabine-Induced Radiation Recall Myositis: Case Report and Review of the Literature. Case Rep Oncol 2018; 11:168-178. [PMID: 29681817 PMCID: PMC5903158 DOI: 10.1159/000487478] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Accepted: 02/07/2018] [Indexed: 12/18/2022] Open
Abstract
Gemcitabine-induced radiation recall (GIRR) is a phenomenon wherein the administration of gemcitabine induces an inflammatory reaction within an area of prior radiation. We present the case of a 39-year-old female patient with metastatic breast cancer who experienced GIRR myositis 3 months following postoperative radiotherapy, with additional potential paraspinal myositis following ablative radiotherapy to the thoracic spine. A review of previously published cases of GIRR myositis was performed. The case and literature review describe the clinical course and presentation of GIRR, and highlight the importance of including radiation recall as part of a differential diagnosis when a patient undergoing chemotherapy experiences an inflammatory reaction at a prior site of radiation.
Collapse
Affiliation(s)
| | - Sean S Park
- Division of Radiation Oncology, Mayo Clinic, Rochester, Minnesota, USA
| | - Kenneth R Olivier
- Division of Radiation Oncology, Mayo Clinic, Rochester, Minnesota, USA
| | - Kimberly S Corbin
- Division of Radiation Oncology, Mayo Clinic, Rochester, Minnesota, USA
| |
Collapse
|
3
|
Prabhakar N, Goyal U, Gonzalez VJ. Irinotecan-induced radiation-recall myositis in a patient with metastatic breast cancer: A case report. Pract Radiat Oncol 2017; 7:302-305. [PMID: 28336481 DOI: 10.1016/j.prro.2017.01.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2016] [Revised: 01/06/2017] [Accepted: 01/16/2017] [Indexed: 11/17/2022]
Affiliation(s)
| | - Uma Goyal
- Department of Radiation Oncology, University of Arizona, Tucson, Arizona.
| | - Victor J Gonzalez
- Department of Radiation Oncology, University of Arizona, Tucson, Arizona
| |
Collapse
|
4
|
Florczynski MM, Sanatani MS, Mai L, Fisher B, Moulin DE, Cao J, Louie AV, Pope JE, Leung E. Severe myositis of the hip flexors after pre-operative chemoradiation therapy for locally advanced rectal cancer: case report. BMC Cancer 2016; 16:243. [PMID: 27000107 PMCID: PMC4802822 DOI: 10.1186/s12885-016-2269-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2015] [Accepted: 03/10/2016] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND The use of neoadjuvant radiation therapy and chemotherapy in the treatment of locally advanced rectal adenocarcinoma has been shown to reduce disease recurrence when combined with surgery and adjuvant chemotherapy. We report a case of a patient who developed a debilitating bilateral myopathy of the hip flexors after successful treatment for rectal cancer. To the best of our knowledge, this is the first such complication from radiation therapy reported in a patient with colorectal cancer. The disproportionate severity of our patient's myopathy relative to the dose of radiation used also makes this case unique among reports of neuromuscular complications from radiation therapy. CASE PRESENTATION The patient is a 65-year-old male with node negative, high-grade adenocarcinoma of the rectum penetrating through the distal rectal wall. He underwent neoadjuvant concurrent pelvic radiation therapy and capecitabine-based chemotherapy, followed by abdominoperineal resection and post-operative FOLFOX chemotherapy. Five months post-completion of pelvic radiotherapy and 2 months after the completion of adjuvant chemotherapy, he presented with bilateral weakness of the iliopsoas muscles and severe pain radiating to the groin. The patient improved with 40 mg/d of prednisone, which was gradually tapered to 2 mg/d over 6 months, with substantial recovery of muscle strength and elimination of pain. CONCLUSIONS The timing, presentation and response of our patient's symptoms to corticosteroids are most consistent with a radiation recall reaction. Radiation recall is a phenomenon whereby previously irradiated tissue becomes vulnerable to toxicity by subsequent systemic therapy and is rarely associated with myopathies. Radiation recall should be considered a potential complication of neoadjuvant radiation therapy for rectal cancer, and for ongoing research into the optimization of treatment for these patients. Severe myopathies caused by radiation recall may be fully reversible with corticosteroid treatment.
Collapse
Affiliation(s)
- Matthew M Florczynski
- Departments of Oncology, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - Michael S Sanatani
- Departments of Oncology, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - Lauren Mai
- Departments of Neurology, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - Barbara Fisher
- Departments of Oncology, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - Dwight E Moulin
- Departments of Neurology, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - Jeffrey Cao
- Departments of Oncology, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - Alexander V Louie
- Departments of Oncology, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - Janet E Pope
- Departments of Rheumatology, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - Eric Leung
- Departments of Oncology, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada. .,Department of Radiation Oncology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
| |
Collapse
|