Assuntos
Hipoglicemia/diagnóstico , Neoplasias Retroperitoneais/diagnóstico por imagem , Tumores Fibrosos Solitários/diagnóstico por imagem , Humanos , Hipoglicemia/etiologia , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Neoplasias Retroperitoneais/patologia , Tumores Fibrosos Solitários/patologiaAssuntos
Neoplasias Intestinais/diagnóstico , Intestino Delgado , Melanoma/diagnóstico , Diabetes Mellitus Tipo 2/complicações , Evolução Fatal , Humanos , Neoplasias Intestinais/complicações , Neoplasias Intestinais/terapia , Masculino , Melanoma/complicações , Melanoma/terapia , Pessoa de Meia-IdadeRESUMO
Twenty-seven reports (26 from the literature) of radiation ischemic heart diseases are studied in order to specify their clinical and pathological findings and their natural history. This complications appear after treatment of radiation-curable diseases with a mean delay of 4 years in young patients (mean age of 31). Several coronary arteries are often injured with fibrous and or atherosclerotic anatomical lesions. The frequency of this coronary artery diseases is certainly more important than reported since they are often latent but probably progressive. However, atherogenic factors increase the risk and must be lowered in a preventive aim; as a rule, the radiotherapeutic technique must also be as perfect as possible. The prognosis of this radiation induced coronary artery diseases is poor: 19 myocardial infarctions and 12 deaths are observed but no cardiac death occurred in patients who received a by-pass graft. So, radiation ischemic heart disease needs active investigation and therapy.