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- W2069808140 abstract "In Reply.— We appreciate the comments of Dr Ahmad regarding our report of osteolysis of the clavicle. Osteolysis is not uncommon in ribs that have been included in radiotherapy fields and have subsequently fractured. The same phenomenon also is seen occasionally in the shoulder and pelvic bones under these circumstances.1While the pathophysiology of the osteolysis is not clear, we believe that phenomenon occurred in our case to a greater and more obvious extent. This patient was treated with cobalt 60 photons at an outside institution. The depth of maximum dose from this energy is 0.5 cm,2and we doubt there was any contribution to the clavicle dose from the posterior axillary supplement of 10 Gy. The superficial location of the clavicle placed it on the region of maximum dose. No sparing of the clavicle can be assumed. The fracture in this case was traumatic and not pathological;" @default.
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- W2069808140 date "1988-12-02" @default.
- W2069808140 modified "2023-09-27" @default.
- W2069808140 title "Osteolysis of the Clavicle-Reply" @default.
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- W2069808140 doi "https://doi.org/10.1001/jama.1988.03410210039020" @default.
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