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Pulmonary Effects of Radiation Therapy
Abstract
The cellular effects of irradiating the lungs are rleated to the histologic and clinical sequelae. The occurrence and severity of damage rare semiquantitatively related to the volume of lung irradiated, and the dose rate of irradiation. The clinical syndrome occurs in up to about 10% of patients and consists of an acute transient phase, radiation pneumonitis, usually occurring 6 to 12 weeks after radiation therapy. This is followed by clinical remission except in the most severe cases and gradula radiologic progression to the stage of radiation fibrosis over the next 6 to 12 months. Concommittant chemotherapy, repeat courses of radiation, and steroid wihtdrawal are exacerbating factors. Characteristic changes in pulmonary function and radiographic appearance are described, and management is reviewed.
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Cited by
Tolerance of normal tissue to therapeutic irradiation
Emami, B., Lyman, J., Brown, A., Cola, L., Goitein, M., Munzenrider, J. E., Shank, B., Solin, L. J., & Wesson, M. (1991) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/0360-3016(91)90171-y · Cited by 4,488
Recht, A., Edge, S. B., Solin, L. J., Robinson, D. S., Estabrook, A., Fine, R. E., Fleming, G. F., Formenti, S., Hudis, C., Kirshner, J. J., et al. (2001) · Journal of Clinical Oncology · doi:10.1200/jco.2001.19.5.1539 · Cited by 816
Radiation-induced fibrosis: mechanisms and implications for therapy
Straub, J. M., New, J., Hamilton, C. D., Lominska, C., Shnayder, Y., & Thomas, S. M. (2015) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-015-1974-6 · Cited by 677
Pathogenetic mechanisms in radiation fibrosis
Yarnold, J., & Vozenin Brotons, M.-C. (2010) · Radiotherapy and Oncology · doi:10.1016/j.radonc.2010.09.002 · Cited by 622
Nonbacterial Pneumonia After Allogeneic Marrow Transplantation: A Review of Ten Years' Experience
Meyers, J. D., Flournoy, N., & Thomas, E. D. (1982) · Clinical Infectious Diseases · doi:10.1093/clinids/4.6.1119 · Cited by 522
Metadata
- Authors
- GROSS, N. J.
- Venue
- Annals of Internal Medicine
- Publisher
- American College of Physicians
- Published
- 1977-01-01
- Volume
- 86
- Issue
- 1
- Pages
- 81-92
- ISSN
- 0003-4819 (ISSN-L)
- 1539-3704
- OpenAlex
- W1964624837
- Cited by
- 563
- References
- 0
- FWCI
- 13.14
- Type
- journal article
- Language
- en
- Open access
- closed
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- GROSS, N. J. (1977). Pulmonary Effects of Radiation Therapy. Annals of Internal Medicine. https://doi.org/10.7326/0003-4819-86-1-81
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