Nuclear Medicine & Radiation Therapy

Adam Pawinski

Publications

• Case Report
  Scylla or Charybdis: Case Report on Radiation Tolerance of the Spinalcord
  Author(s): Astrid Dalhaug, Adam Pawinski, Terje Tollåli and Carsten NiederAstrid Dalhaug, Adam Pawinski, Terje Tollåli and Carsten Nieder
  
  A case of rapid cancer progression causing impending spinal cord compression at the margin of a previously irradiated treatment volume close to the thoracic spinal cord in a patient with non-small cell lung cancer is presented. The patient and treating physicians were faced with a difficult decision. Either reirradiate and accept a considerable risk of delayed radiation myelopathy or risk paraplegia as a result of tumour progression. To prevent rapid development of neurological deficits, the patient was reirradiated only 34 days after he had finished his initial course of simultaneous radio- and chemotherapy. The high cumulative spinal cord dose (corresponding to 84 Gy in 2-Gy fractions) and short interval to reirradiation resulted in a high risk of radiation myelopathy according to a previously published risk score. However, no treatment-related toxicity developed and neurological fu.. Read More»
  DOI: 10.4172/2155-9619.1000114

  Abstract PDF