Analysis of Misdiagnosis of Pelvic Insufficiency Fracture after Radiotherapy for Cervical Cancer
ZHANG Yi
ZHANG Jianjun
Abstract：Objective To investigate the diagnosis and treatment,causes of misdiagnosis and preventive measures of pelvic insufficiency fracture(PIF)after radiotherapy for cervical cancer.Methods The clinical data of 3 patients with cervi-cal cancer and PIF after radiotherapy misdiagnosed as bone metastases admitted from January 2020 to December 2022 were ret-rospectively analyzed.Results All 3 cases presented with lumbosacral pain after radiotherapy for cervical cancer.MRI,SPET/CT and other imaging examinations suggested bone metastases,and local radiotherapy was recommended.One patient was diagnosed with PIF by postoperative pathological examination one month later,and the symptoms were relieved by corre-sponding treatment.The symptoms of 2 patients were relieved by symptomatic treatment,no progression was found in imaging review at 1-year follow-up,and diagnosis of PIF was made.Conclusion The main causes of misdiagnosis of PIF after radio-therapy of cervical cancer are the lack of specificity of clinical and imaging findings and the inexperience of clinicians.The pa-tients with pelvic pain after radiotherapy of cervical cancer should be diagnosed by comprehensive clinical manifestations and va-rious imaging findings,especially the differentiation from bone metastatic cancer to avoid misdiagnosis and mistreatment.
Keywords：Uterine cervical neoplasmsRadiotherapyBone fracturesPelvisMisdiagnosisBone metastatic canc-erImagingPathology
Publication Date：2023-09-22
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 28-33 )