Pectoralis major radiation recall

Pectoralis major radiation recall Journal Article

Journal of Medical Radiation Sciences

  • Author(s): Hack, E., Thachil, T., Karanth, N.
  • Published: 2018
  • Edition: Sep 9
  • ISBN: 2051-3909 (Electronic) 2051-3895 (Linking)

Abstract: Radiation recall is an uncommon phenomenon describing an acute localised inflammatory toxicity affecting tissue previously exposed to radiotherapy. It is precipitated by administration of certain medications, including chemotherapy. We describe a case involving a 50-year-old Aboriginal male smoker from a remote community in Northern Australia who underwent treatment for stage IV non-small cell lung cancer with localised radiotherapy to the primary right upper lung lobe tumour. This was followed by a course of gemcitabine, which was ceased prematurely after four cycles when he presented with radiation recall to his right pectoralis major. Our case description is complemented with a brief review of current literature regarding our case and gemcitabine-related radiation recall. This was in the context of concurrent musculoskeletal strain, an as-yet unreported association with radiation recall. His condition settled with steroid administration and discontinuation of gemcitabine.

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Suggested Citation
Hack, E., Thachil, T., Karanth, N., 2018, Pectoralis major radiation recall, Edition:Sep 9, Journal Article, viewed 06 December 2023,

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