Michalowski A, Uehara S, Yin W B, Burgin J, Silvester J A
Radiat Res. 1983 Jul;95(1):78-86.
The present study extends our earlier observations [A. Michalowski, Br. J. Radiol. 54, 713 (1981); A. Michalowski and J. Burgin, in Progress in Radio-Oncology II, pp. 105-110] on gastrointestinal pathology in thorax-irradiated female CFLP mice. It shows that exposure of the lower mediastinum to single doses of 14-30 Gy X rays results in the formation of the proximal duodenal ulcer accompanied frequently by erosion of the antral gastric mucosa. X irradiation of the lateral thoracic fields is responsible for single ulcers in the proximity of duodenal papilla, often associated with a circumscribed area of degeneration of the fundic mucosa of the stomach. In view of the small amount of radiation received by the subdiaphragmatic parts of the alimentary tract, these gastro-duodenal lesions represent abscopal effects of thoracic irradiation.
本研究扩展了我们早期关于胸部照射的雌性CFLP小鼠胃肠道病理学的观察结果[A. 米哈尔洛夫斯基,《英国放射学杂志》54, 713 (1981); A. 米哈尔洛夫斯基和J. 布尔金,《放射肿瘤学进展II》,第105 - 110页]。研究表明,下纵隔接受14 - 30 Gy单次剂量的X射线照射会导致十二指肠近端溃疡形成,并经常伴有胃窦黏膜糜烂。胸外侧野的X射线照射会导致十二指肠乳头附近出现单个溃疡,常伴有胃底黏膜局限性变性区域。鉴于消化道膈下部分接受的辐射量较少,这些胃十二指肠病变代表了胸部照射的远隔效应。