The effects of local irradiation on circulating lymphocytes in dogs receiving fractionated radiotherapy

Autor: Alain P Theon, Robert B. Rebhun, Katherine S. Hansen, Shaheen Emami, Michael S. Kent, Ellen E. Sparger
Rok vydání: 2019
Předmět:
Zdroj: Veterinary and Comparative Oncology. 18:191-198
ISSN: 1476-5829
1476-5810
Popis: Localized radiation therapy can be an effective treatment for cancer but is associated with localized and systemic side effects. Several studies have noted changes in complete blood count (CBC) parameters including decreases in the absolute lymphocyte count (ALC) and increases in the neutrophil:lymphocyte ratio (NLR). These changes could reflect immunosuppression and may contribute to decreased efficacy of immunotherapies used to treat cancer. We hypothesized that dogs would demonstrate decreased ALCs during a course of radiotherapy. A retrospective study was conducted on 203 dogs receiving definitive-intent radiotherapy. Demographic information, CBC values and details of the radiotherapy protocol were collected. The mean lymphocyte count pre-treatment was 1630.68 cells/μL (SD ± 667.56) with a mean NLR of 3.66 (SD ± 4.53). The mean lymphocyte count mid-treatment was 1251.07 cells/μL (SD ± 585.96) and the mean NLR was 6.23 (SD ± 4.99). There was a significant decrease in the mean lymphocyte count by 351.41 lymphocytes/μL (SD ± 592.32) between pre-treatment and mid-treatment (P
Databáze: OpenAIRE