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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessCase Report

Sacral insufficiency fracture after pelvic radiotherapy: A diagnostic challenge for a radiologist

Department of Nuclear Medicine, National Cancer Institute, Vilnius University, Vilnius, Lithuania
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Medicina 2014, 50(4), 249-254; https://doi.org/10.1016/j.medici.2014.09.006
Received: 15 May 2014 / Accepted: 13 September 2014 / Published: 1 October 2014
Sacral insufficiency fractures can occur as a complication after pelvic radiotherapy. Despite several recent studies showing high incidence of sacral insufficiency fractures in elderly women after pelvic radiotherapy this condition still remains underdiagnosed. We present a case of sudden onset of low back pain in a female patient with a history of cervical cancer radiotherapy. Initial diagnostic imaging misinterpreted SIF for metastasis. Bone scan and single-photon emission-computed tomography with low-dose computed tomography revealed the correct diagnosis. Due to the reasons that sacral insufficiency fractures still remain underdiagnosed this report is important to practical routine work of oncologists and radiologists.
Keywords: Sacral insufficiency fracture; Bone scan; SPECT/CT; Cervical cancer Sacral insufficiency fracture; Bone scan; SPECT/CT; Cervical cancer
MDPI and ACS Style

Lapina, O.; Tiškevičius, S. Sacral insufficiency fracture after pelvic radiotherapy: A diagnostic challenge for a radiologist. Medicina 2014, 50, 249-254.

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