- Journal Contents Downloads
- JRSBRT Downloads
- JRSBRT 3.4, p. 325-329
Carotid blowout in a patient with nasopharyngeal carcinoma treated with SBRT re-irradiation for local recurrence using twice weekly treatment
Neil M. Woody, Aliye Bricker, Nikhil Joshi, Sara J. Zakem, Matthew D. Greer, Diana Mattson and Shlomo A. Koyfman
We present the case of a patient undergoing reirradiation for a T4 nasopharyngeal tumor 1 year after his initial radiation, treated with SBRT to a moderate dose with twice weekly fractionation. Despite the measures of caution employed, the patient had a fatal carotid blowout at 7 months following SBRT. This suggests that spacing apart fractions of SBRT alone may not be sufficient to obviate the risk of carotid blowout syndrome and other risk factors and interventions should be considered.
Keywords: head and neck, nasopharynx, re-irradiation, SBRT, carotid blowout
After payment has been processed for your order of a digital copy (PDF) of this article, you will see a download link on your completed order page and also receive an email containing a download link. The links, which will enable you to download one copy of the article, will expire after 24 hours.