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IPLab:Lab 12:Radiation Changes

354 bytes added, 21:12, 9 July 2020
Autopsy Findings
== Clinical Summary ==
This 46-year-old white female was found to have prolapse of the uterus two years earlier for which a vaginal hysterectomy had been performed. Study of the specimen demonstrated diagnosed with invasive squamous cell carcinoma of the cervix. Subsequently, she underwent a radical parametrectomy, removal of both tubes and ovaries, and partial resection of the bladdersubsequently received radiation therapy. Six months Three years later, a recurrence of the tumor was treated by 6000 rads to the whole pelvis. Subsequently, the patient developed intermittent several episodes of small bowel obstruction which resulted in the necessitated resection of a segment of ileum. She did well following surgery.
== Autopsy Findings ==The surgical specimen consisted of a 13-cm segment of ileum having a luminal circumference of 5 cm. There was a full-thickness tear measuring 2.5 cm in the center of the specimen. On opening the bowel, the mucosa was ulcerated and showed a perforation.
== Images ==
File:IPLab12RadiationChanges8.jpg|This high-power photomicrograph of the wall of the ileum shows more examples of pleomorphic cells caused by radiation injury (arrows).
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== Virtual Microscopy ==
<peir-vm>IPLab12RadiationChanges</peir-vm>
== Study Questions ==
== Additional Resources ==
=== Reference ===
* [http://emedicine.medscape.com/article/180084-overview eMedicine Medical Library: Intestinal Radiation Injury]* [http://emedicine.medscape.com/article/265956-overview eMedicine Medical Library: Radiation Therapy in Gynecology]* [http://www.merckmanuals.com/professional/injuries_poisoning/radiation_exposure_and_contamination/radiation_exposure_and_contamination.html Merck Manual: Radiation Exposure and Contamination]
=== Journal Articles ===
* Reis ED, Vine AJ, Heimann T. [http://www.ncbi.nlm.nih.gov/pubmed/12780647 Radiation damage to the rectum and anus: pathophysiology, clinical features and surgical implications]. ''Colorectal Dis'' 2002 Jan;4(1):2-12.
=== Images ===
* [http://peir.path.uab.edu{{SERVER}}/library/index.php?/tags/56-radiation PEIR Digital Library: Radiation Images]
* [http://library.med.utah.edu/WebPath/GIHTML/GIIDX.html#5 WebPath: Small Intestine Images]
 
== Related IPLab Cases ==
 
{{IPLab 12}}
[[Category: IPLab:Lab 12]]