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Original Article
- Cytogenetic Effects of Radiotherapy on Peripheral Blood Lymphocytes of Cancer Patients
- Hyung Sik Lee, Young Min Choi, Won Joo Hur, Kyung Hee Kim, Sang Dong Sin, Jin Yeong Han, Jung Man Kim, Hyo Jin Kim
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Journal of the Korean Cancer Association 1997;29(2): 299-308.
1Department of Radiation Oncology, College of Medicine, Dong-A University, Pusan, Korea.
2Department of Clinical Pathology, College of Medicine, Dong-A University, Pusan, Korea.
3Department of Internal Medicine, College of Medicine, Dong-A University, Pusan, Korea.
2Department of Clinical Pathology, College of Medicine, Dong-A University, Pusan, Korea.
3Department of Internal Medicine, College of Medicine, Dong-A University, Pusan, Korea.
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Abstract
PURPOSE
To evaluate the frequency and types of chromosome aberrations induced by ionizing radiation in cancer patients before and after radiotherapy.
MATERIALS AND METHODS
Thirty cases with various types of cancers such as rectum, lung, uterine cervix, lymphoma, and etc. were studied. The time of analyses was within 1 month after radiotherapy. The mean total radiation dose was 54 Gy.
RESULTS: The incidence of aberrant metaphases prior to radiation treatment was 2.2% and increased significantly after treatment to 29.7% (p<0.001). Also the number of chromosomal aberrations per cell was increased by a factor of 38.5. A comparison of chromosome abnormalities observed before and after treatment indicated that dicentrics, acentrics, derivatives and translocations were increased by a factor of 155.5, 99, 55.5 and 23.8, respectively, after radiation treatment. Breakages were located at all chromosomes except Y chromosome and total number of identifiable breakages was 426 in 900 observed lymphocyte metaphases. Distribution of break points revealed the increase of number of break points in chromosome 1,2,5 and 11q.
CONCLUSION
Ionizing radiation produces more asymmetrical than symmetrical chromosome aberrations and more two-break than one-break anomalies in radiation-treated cancer patients.
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