Radiation-related Lymphopenia after Pelvic Nodal Irradiation for Prostate Cancer.

作者: Michael D. Schad , Sunil W. Dutta , Donald M. Muller , Krishni Wijesooriya , Timothy N. Showalter

DOI: 10.1016/J.ADRO.2019.01.005

关键词:

摘要: Abstract Purpose Given the uncertainty with regard to effectiveness of pelvic nodal irradiation (PNI) for prostate cancer, we aimed determine whether patients cancer who are treated PNI at a higher risk developing radiation-related lymphopenia (RRL). Methods and materials The electronic charts 886 consecutive radiation therapy between 2006 2018 our institution were retrospectively analyzed. Qualifying those total lymphocyte counts within 1 year before 3 24 months after start therapy. Lymphopenia was primary outcome, overall survival biochemical progression-free secondary outcomes. Results Thirty-six 95 without qualified inclusion. In cohort, 61.1% developed RRL (median follow-up count  Conclusions among comports other papers that show increased treatment volumes associated rates RRL. Mounting evidence adverse effects on clinical outcomes supports significance findings suggests further studies needed as potential harm may affect interpretation results from trials PNI.

参考文章(23)
Soumon Rudra, Caressa Hui, Yuan J. Rao, Pamela Samson, Alexander J. Lin, Xiao Chang, Christina Tsien, Sandra Fergus, Daniel Mullen, Deshan Yang, Dinesh Thotala, Dennis Hallahan, Jian Li Campian, Jiayi Huang, Effect of Radiation Treatment Volume Reduction on Lymphopenia in Patients Receiving Chemoradiotherapy for Glioblastoma International Journal of Radiation Oncology Biology Physics. ,vol. 101, pp. 217- 225 ,(2018) , 10.1016/J.IJROBP.2018.01.069
Stuart A. Grossman, Susannah Ellsworth, Jian Campian, Aaron T. Wild, Joseph M. Herman, Dan Laheru, Malcolm Brock, Ani Balmanoukian, Xiaobu Ye, Survival in Patients With Severe Lymphopenia Following Treatment With Radiation and Chemotherapy for Newly Diagnosed Solid Tumors Journal of The National Comprehensive Cancer Network. ,vol. 13, pp. 1225- 1231 ,(2015) , 10.6004/JNCCN.2015.0151
Emma L Verastegui, Rocio B Morales, Jose L Barrera-Franco, Adela C Poitevin, John Hadden, Long-term immune dysfunction after radiotherapy to the head and neck area. International Immunopharmacology. ,vol. 3, pp. 1093- 1104 ,(2003) , 10.1016/S1567-5769(03)00013-4
Hideya Yamazaki, Yasuo Yoshioka, Takehiro Inoue, Eiichi Tanaka, Miki Nishikubo, Tadayuki Sato, Takeshi Ishida, Hironobu Nakamura, Toshihiko Inoue, Changes in natural killer cell activity by external radiotherapy and/or brachytherapy Oncology Reports. ,vol. 9, pp. 359- 363 ,(2002) , 10.3892/OR.9.2.359
Aaron T. Wild, Xiaobu Ye, Susannah G. Ellsworth, Jessica A. Smith, Amol K. Narang, Tanu Garg, Jian Campian, Daniel A. Laheru, Lei Zheng, Christopher L. Wolfgang, Phuoc T. Tran, Stuart A. Grossman, Joseph M. Herman, The Association Between Chemoradiation-related Lymphopenia and Clinical Outcomes in Patients With Locally Advanced Pancreatic Adenocarcinoma. American Journal of Clinical Oncology. ,vol. 38, pp. 259- 265 ,(2015) , 10.1097/COC.0B013E3182940FF9
Kenneth K. Meyer, Radiation-Induced Lymphocyte-Immune Deficiency Archives of Surgery. ,vol. 101, pp. 114- 121 ,(1970) , 10.1001/ARCHSURG.1970.01340260018003
Nori Nakamura, Yoichiro Kusunoki, Mitoshi Akiyama, Radiosensitivity of CD4 or CD8 Positive Human T-Lymphocytes by an in Vitro Colony Formation Assay Radiation Research. ,vol. 123, pp. 224- 227 ,(1990) , 10.2307/3577549
Z Fuks, S Strober, A M Bobrove, T Sasazuki, A McMichael, H S Kaplan, Long term effects of radiation of T and B lymphocytes in peripheral blood of patients with Hodgkin's disease. Journal of Clinical Investigation. ,vol. 58, pp. 803- 814 ,(1976) , 10.1172/JCI108532
Jian L. Campian, Xiaobu Ye, Malcolm Brock, Stuart A. Grossman, Treatment-related lymphopenia in patients with stage III non-small-cell lung cancer. Cancer Investigation. ,vol. 31, pp. 183- 188 ,(2013) , 10.3109/07357907.2013.767342
Dirk De Ruysscher, Mark Waer, Michel Vandeputte, Rita Aerts, Kris Vantongelen, Emmanuel van der Schueren, Changes of lymphocyte subsets after local irradiation for early stage breast cancer and seminoma testis: long-term increase of activated (HLA-DR+) T cells and decrease of "naive" (CD4-CD45R) T lymphocytes. European Journal of Cancer. ,vol. 28, pp. 1729- 1734 ,(1992) , 10.1016/0959-8049(92)90079-H