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[治疗对乳腺癌患者静脉血中淋巴细胞分布的影响]

[Effect of therapy on the lymphoid cell distribution in the venous blood of breast cancer patients].

作者信息

Heidenreich W, Jagla K, Börner P, Peter H H, Deinhardt J, Deicher H

出版信息

Onkologie. 1979 Oct;2(5):188-92. doi: 10.1159/000214609.

Abstract

Rosetting properties (E, EAh, EAox, EAC rosettes) and presence of surface immunoglobulins (SIg) were examined on peripheral blood lymphocytes from 30 breast cancer patients immediately prior to therapy and 4 weeks thereafter. Therapy consisted of limited radical surgery followed by combined X-ray and telecobalt radiotherapy. The results were compared to patients who had received the same treatment 1 year ago (n = 13), 2 years ago (n = 13) and 3 to 10 years ago (n = 20). All irradiated patients exhibited a considerable leuko- and lymphopenia with a particular decrease of E and EAh rosettes, and a concommittant relative increase of EAox and EAC rosettes. SIg positive cells showed no significantly different percentages before and after therapy although in absolute counts they were similarly reduced as the other subpopulations after radiotherapy. The possible prognostic influence of radiation induced lymphopenia is discussed without coming to clear conclusions.

摘要

在30例乳腺癌患者接受治疗前及治疗后4周,对外周血淋巴细胞的玫瑰花结形成特性(E、EAh、EAox、EAC玫瑰花结)及表面免疫球蛋白(SIg)的存在情况进行了检测。治疗包括根治性手术,随后进行X射线和远距离钴放疗联合治疗。将结果与1年前(n = 13)、2年前(n = 13)和3至10年前(n = 20)接受相同治疗的患者进行比较。所有接受放疗的患者均出现明显的白细胞减少和淋巴细胞减少,尤其是E和EAh玫瑰花结减少,同时EAox和EAC玫瑰花结相对增加。SIg阳性细胞在治疗前后的百分比无显著差异,尽管放疗后其绝对计数与其他亚群一样同样减少。讨论了辐射诱导淋巴细胞减少可能的预后影响,但未得出明确结论。

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