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首页> 外文期刊>Radiotherapy and oncology: Journal of the European Society for Therapeutic Radiology and Oncology >First report on the patient database for the identification of the genetic pathways involved in patients over-reacting to radiotherapy: GENEPI-II.
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First report on the patient database for the identification of the genetic pathways involved in patients over-reacting to radiotherapy: GENEPI-II.

机译:关于患者数据库的第一份报告,用于鉴定对放疗过度反应的患者所涉及的遗传途径:GENEPI-II。

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BACKGROUND: Identifying the most radiosensitive patient group would have huge clinical implications. METHODS: A tissue bank containing skin fibroblasts, whole blood, lymphocytes, plasma and lymphoblastoid cell lines from clinically radiation hypersensitive patients was established from patients in Europe and Canada. Over-reacting individuals had CTCAE3.0 severe acute side effects grade 2 or more occurring at very low radiation doses where these side effects are unexpected or grade 3-4 lasting more than 4 weeks after the end of radiotherapy and/or requiring surgical intervention at any time or severe late side effects grade 3-4. RESULTS: Eleven patients have been identified with a mean age of 61.6+/-8.5 years (range 49-74). Two patients were male, 9 female. One patient had non-small cell lung cancer, 6 breast cancer, 2 head and neck cancer, one lymphoma and one meningioma. The mean follow-up time after radiotherapy was 1658+/-1048 days (range 84-3752). CONCLUSIONS: The establishment of an international tissue bank of the rare group of patients with extreme hypersensitivity to radiotherapy was proven to be feasible and should enable in-depth molecular studies.
机译:背景:确定最放射线敏感的患者群体将具有巨大的临床意义。方法:从欧洲和加拿大的患者那里建立了一个组织库,其中包含来自临床辐射超敏患者的皮肤成纤维细胞,全血,淋巴细胞,血浆和淋巴母细胞样细胞系。反应过度的个体在非常低的辐射剂量下会发生CTCAE3.0严重的2级或以上严重急性副作用,这些副作用是出乎意料的,或者3-4级的放疗结束后持续超过4周和/或需要在任何时候或严重的晚期副作用为3-4级。结果:已鉴定出11名患者,平均年龄为61.6 +/- 8.5岁(范围49-74)。男性2例,女性9例。 1例患有非小细胞肺癌,6例乳腺癌,2例头颈部癌,1例淋巴瘤和1例脑膜瘤。放疗后的平均随访时间为1658 +/- 1048天(范围84-3752)。结论:建立对极少数对放射疗法极度过敏的患者的国际组织库是可行的,并且应该能够进行深入的分子研究。

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