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Case report
peer-reviewed

Unexpected Symptomatic Pneumonitis Following Breast Tangent Radiation: A Case Report



Abstract

Symptomatic radiation pneumonitis (RP) following radiation therapy (RT) to the breast alone is very uncommon. We report a case of an 80-year-old female who presented with fatigue, exertional dyspnea, fever, and cough 11.5 weeks following adjuvant breast RT with tangent fields alone. Imaging was consistent with RP, and she responded to a tapering course of steroids.



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Case report
peer-reviewed

Unexpected Symptomatic Pneumonitis Following Breast Tangent Radiation: A Case Report


Author Information

Jessica L. Conway Corresponding Author

Department of Oncology, Tom Baker Cancer Centre, Calgary

Karen Long

Department of Oncology, Tom Baker Cancer Centre, Calgary

Nicolas Ploquin

Department of Medical Physics, Tom Baker Cancer Centre, Calgary

Ivo A. Olivotto

Department of Oncology, University of Calgary/Tom Baker Cancer Center


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: The authors have declared that no conflicts of interest exist.


Case report
peer-reviewed

Unexpected Symptomatic Pneumonitis Following Breast Tangent Radiation: A Case Report


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Case report
peer-reviewed

Unexpected Symptomatic Pneumonitis Following Breast Tangent Radiation: A Case Report

  • Author Information
    Jessica L. Conway Corresponding Author

    Department of Oncology, Tom Baker Cancer Centre, Calgary

    Karen Long

    Department of Oncology, Tom Baker Cancer Centre, Calgary

    Nicolas Ploquin

    Department of Medical Physics, Tom Baker Cancer Centre, Calgary

    Ivo A. Olivotto

    Department of Oncology, University of Calgary/Tom Baker Cancer Center


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: The authors have declared that no conflicts of interest exist.

    Acknowledgements


    Article Information

    Published: October 22, 2015

    DOI

    10.7759/cureus.363

    Cite this article as:

    Conway J L, Long K, Ploquin N, et al. (October 22, 2015) Unexpected Symptomatic Pneumonitis Following Breast Tangent Radiation: A Case Report. Cureus 7(10): e363. doi:10.7759/cureus.363

    Publication history

    Received by Cureus: September 29, 2015
    Peer review began: October 07, 2015
    Peer review concluded: October 14, 2015
    Published: October 22, 2015

    Copyright

    © Copyright 2015
    Conway et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Symptomatic radiation pneumonitis (RP) following radiation therapy (RT) to the breast alone is very uncommon. We report a case of an 80-year-old female who presented with fatigue, exertional dyspnea, fever, and cough 11.5 weeks following adjuvant breast RT with tangent fields alone. Imaging was consistent with RP, and she responded to a tapering course of steroids.



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Jessica L. Conway, M.D., Resident Physician

Department of Oncology, Tom Baker Cancer Centre, Calgary

For correspondence:
jessica.conway@albertahealthservices.ca

Karen Long

Department of Oncology, Tom Baker Cancer Centre, Calgary

Nicolas Ploquin

Department of Medical Physics, Tom Baker Cancer Centre, Calgary

Ivo A. Olivotto

Department of Oncology, University of Calgary/Tom Baker Cancer Center

Jessica L. Conway, M.D., Resident Physician

Department of Oncology, Tom Baker Cancer Centre, Calgary

For correspondence:
jessica.conway@albertahealthservices.ca

Karen Long

Department of Oncology, Tom Baker Cancer Centre, Calgary

Nicolas Ploquin

Department of Medical Physics, Tom Baker Cancer Centre, Calgary

Ivo A. Olivotto

Department of Oncology, University of Calgary/Tom Baker Cancer Center