Bardet E
Centre René-Gauducheau, CRLCC Nantes Atlantiques, site hospitalier Nord, Nantes-Saint-Herblain, France.
Cancer Radiother. 1997;1(6):778-80. doi: 10.1016/s1278-3218(97)82957-5.
Most of the basic data regarding the effect of radiation on the testis are issued from animal studies. They demonstrate the extreme radiosensitivity on the germ cell lineage but little is known about the reversible or definitive aspects of these radiation induced effects. In man, the late non stochastic effects of radiation to the testicule are mainly related to persisting spermatogenesis disturbances or/and hormone related problems. Morphological, physiological, radiobiological specificities of the human testis along with numerous parameters depending on radiation conditions make it difficult to evaluate the late effects and radiation tolerance doses. Evaluation of such effects based on a common scale for therapeutic radiation schedules would improve the present understanding and possibly prevent the occurrence of these delayed effects, for the benefit of patients.
关于辐射对睾丸影响的大多数基础数据都来自动物研究。这些研究表明生殖细胞谱系对辐射极度敏感,但对于这些辐射诱导效应的可逆或不可逆方面却知之甚少。在人类中,辐射对睾丸的晚期非随机效应主要与持续的精子发生障碍和/或激素相关问题有关。人类睾丸的形态学、生理学、放射生物学特性以及众多取决于辐射条件的参数,使得评估晚期效应和辐射耐受剂量变得困难。基于治疗性放疗方案的通用标准来评估此类效应,将有助于增进目前的认识,并可能预防这些延迟效应的发生,从而造福患者。