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[放射治疗过程中宫颈癌免疫反应的控制]

[Control of the immunological reactivity in cervical cancer in the process of radiation therapy].

作者信息

Shiriĭ A V

出版信息

Vopr Onkol. 1979;25(1):63-8.

PMID:311545
Abstract

The author reports the results of studying 311 reactions of lymphocyte blasttransformation, 74 reactions of spontaneous rosette-formation and 186 reactions of plaque-formation in 184 patients with different stages of cervical cancer. It was found that in the tumor progression cell immunity indices are lowered and the degree of the lowering is dependent on the form of tumor growth. Radiotherapy results in the enhancement of autoantibody-formation processes and suppresses the response of lymphocytes to PHA found to be mostly pronounced in patients with advanced cancer. The blasttransformation reaction correlates well with the number of peripheral blood lymphocytes, and during radiotherapy the former slows down before the routinely revealed lymphopenia, that allows using this reaction to prognosticate lymphopenia. The most large amounts of plaque-forming blood cells were detected in patients with radiation injuries of the adjacent to the uterus organs of the small pelvis. Use of lymphocyte blasttrasformation reaction and quantitation of plaque-forming blood cells may provide the grounds for the individual application of radiotherapy for cervical cancer to increase its effectiveness.

摘要

作者报告了对184例不同阶段宫颈癌患者的311次淋巴细胞转化反应、74次自发玫瑰花结形成反应和186次空斑形成反应的研究结果。发现随着肿瘤进展,细胞免疫指标降低,降低程度取决于肿瘤生长形式。放射治疗可增强自身抗体形成过程,并抑制淋巴细胞对PHA的反应,这在晚期癌症患者中最为明显。淋巴细胞转化反应与外周血淋巴细胞数量密切相关,在放射治疗期间,前者在常规检测到淋巴细胞减少之前就会减慢,这使得可以利用该反应预测淋巴细胞减少。在盆腔小器官子宫邻近部位有放射性损伤的患者中检测到最多数量的空斑形成血细胞。利用淋巴细胞转化反应和定量空斑形成血细胞可为宫颈癌放射治疗的个体化应用提供依据,以提高其疗效。

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