Radionecrosis 30 years after breast cancer.

This report describes the case of a 70-year-old woman presenting to outpatient with a several-week history of a painful mass in her right breast, 30 years after her treatment for primary breast cancer. At first, this was suspected to have been a recurrence of her malignancy; however, repeated biopsies ultimately proved this to be negative. Her injury was actually a case of radiotherapy-induced necrosis (radionecrosis) and was subsequently treated with surgical debridement.

Improving relapse prevention after successful electroconvulsive therapy for patients with severe depression: completed audit cycle involving 102 full electroconvulsive therapy courses in West Sussex, United kingdom.

Objectives: The aim of this study was to determine whether current guidance or consensus regarding continuation pharmacotherapy after successful electroconvulsive therapy (ECT) was being followed by referring clinicians in West Sussex, United Kingdom.

Methods: A complete audit cycle examining psychotropic medication after successful ECT for patients with severe depression was performed. Clinical and ECT records (electronic and paper) were reviewed, and relapse rates in the 4 commonly prescribed psychotropic medication groups were compared.