Radiation-induced Back Ulcers are Often Overlooked

초록

Background Given that fluoroscopic procedures have been more commonly used, many radiation-induced complications following these radiological interventional procedures should be given attention. However, there are few studies related to radiation-induced ulcers in Korea. Thus, this study aimed to present several cases of radiation-induced ulcers and to investigate the characteristics of radiation-induced ulcers. Methods A retrospective review was performed on the maintained databases at our institution. All patients who visited for radiation-induced ulcer treatment between 2010 and 2015 were included in the analysis. We reviewed medical charts and operative data, including patient demographics, photographs, surgical techniques, and postoperative outcomes. Results In total, five patients with radiation-induced back ulcers were included and they underwent intravenous antibiotic treatment, conservative dressing therapy, and surgical procedures (e.g., surgical debridement, split-thickness skin graft, and local flap). At a mean follow-up of 11 months, all lesions in the patients healed completely without any recurrence. Conclusion Radiation-induced back ulcers are easily overlooked. Thus, accurate assessment and multidisciplinary approaches for treatment of such injuries are crucial.

키워드