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霍奇金病患者染色体辐射诱导的畸变。与第二原发恶性肿瘤可能存在的关联?

Chromosome radiation-induced aberrations in patients with Hodgkin's disease. Possible correlation with second malignancy?

作者信息

Zaccaria A, Barbieri E, Mantovani W, Tura S

出版信息

Boll Ist Sieroter Milan. 1978 Mar 31;57(1):76-83.

PMID:656200
Abstract

The karyotype of peripheral blood lymphocytes has been studied in a group of patients with Hodgkin's disease. Before any therapy, the karyotype was either normal or aneuploid. A few months after radiotherapy (total nodal irradiation) a conspicuous amount of structural chromosome aberrations was found. Three to six years after completion of radiotherapy, the lymphocyte karyotype was almost normal, even if stable ionizing radiation-induced aberrations were still detectable. This is consistent with the normal behaviour of these patients and with the long-lasting effect of radiations on nuclear D.N.A. Owing to the close relationship between ionizing raditions and chromosome aberrations on one hand, and abnormal karyotypes and tumors on the other, it cannot be overlooked that these aberrations may play an important role, together with other carcinogenic factors, in the development of second malignancies in these patients.

摘要

对一组霍奇金病患者的外周血淋巴细胞核型进行了研究。在任何治疗之前,核型要么正常,要么为非整倍体。放射治疗(全淋巴结照射)几个月后,发现了大量明显的染色体结构畸变。放射治疗结束三至六年之后,淋巴细胞核型几乎正常,即便仍可检测到稳定的电离辐射诱导的畸变。这与这些患者的正常表现以及辐射对核DNA的长期影响是一致的。鉴于电离辐射与染色体畸变之间一方面存在密切关系,另一方面异常核型与肿瘤之间也存在密切关系,不能忽视的是,这些畸变可能与其他致癌因素一起,在这些患者的第二原发恶性肿瘤发生过程中发挥重要作用。

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1
Chromosome radiation-induced aberrations in patients with Hodgkin's disease. Possible correlation with second malignancy?霍奇金病患者染色体辐射诱导的畸变。与第二原发恶性肿瘤可能存在的关联?
Boll Ist Sieroter Milan. 1978 Mar 31;57(1):76-83.
2
[Karyotype of peripheral blood lymphocytes in patients treated for Hodgkin disease].[接受霍奇金病治疗患者的外周血淋巴细胞核型分析]
Bull Cancer. 1983;70(1):31-9.
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Incidence of second solid cancer in patients after treatment of Hodgkin's disease.霍奇金淋巴瘤患者治疗后第二原发性实体癌的发病率。
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Persistence of chromosome aberrations in peripheral lymphocytes from Hodgkin's lymphoma remission patients.霍奇金淋巴瘤缓解期患者外周淋巴细胞中染色体畸变的持续性
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Second malignancies complicating Hodgkin's disease: a Southwest Oncology Group 10-year followup.
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The risk of acute leukemia in patients treated for Hodgkin's disease is significantly higher aft [see bined modality programs than after chemotherapy alone and is correlated with the extent of radiotherapy and type and duration of chemotherapy: a case-control study.一项病例对照研究表明,接受霍奇金淋巴瘤联合治疗方案的患者发生急性白血病的风险显著高于单纯接受化疗的患者,且该风险与放疗范围、化疗类型及疗程相关。
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[Breast cancer after mantle field irradiation for Hodgkin's disease].[霍奇金病斗篷野照射后发生的乳腺癌]
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