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Correlation Between the Transient Elevation of Peripheral Eosinophil Count During Radiotherapy and Acute Diarrhea.


ABSTRACT:

Background/aim

This study aimed to evaluate the association between the change in peripheral eosinophil count during postoperative pelvic radiotherapy and gastrointestinal (GI) toxicities in patients with cervical cancer.

Patients and methods

The medical records of 163 patients with cervical cancer who underwent postoperative concurrent chemoradiotherapy between 2000 and 2016 were analyzed.

Results

Among the peripheral blood cell counts, transient elevation of the eosinophil count was observed during radiotherapy. Of the 163 patients, 117 developed grade ≥2 diarrhea during radiotherapy, and 25 patients developed grade ≥2 late GI toxicities. In multivariate analysis, the maximum eosinophil count and age emerged as independent predictors of grade ≥2 acute diarrhea during radiotherapy, while bowel bag V 40 Gy and age were predictive of grade ≥2 late GI toxicities.

Conclusion

Early detection of transient elevation of eosinophil may facilitate early treatment of acute diarrhea during radiotherapy.

SUBMITTER: Kobayashi T 

PROVIDER: S-EPMC8988959 | biostudies-literature | 2021 Sep-Oct

REPOSITORIES: biostudies-literature

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Publications

Correlation Between the Transient Elevation of Peripheral Eosinophil Count During Radiotherapy and Acute Diarrhea.

Kobayashi Takako T   Isohashi Fumiaki F   Eino Daisuke D   Tanaka Kazunori K   Sawada Kenjiro K   Ueda Yutaka Y   Kobayashi Eiji E   Tomimatsu Takuji T   Kimura Tadashi T   Ogawa Kazuhiko K  

Cancer diagnosis & prognosis 20210703 4


<h4>Background/aim</h4>This study aimed to evaluate the association between the change in peripheral eosinophil count during postoperative pelvic radiotherapy and gastrointestinal (GI) toxicities in patients with cervical cancer.<h4>Patients and methods</h4>The medical records of 163 patients with cervical cancer who underwent postoperative concurrent chemoradiotherapy between 2000 and 2016 were analyzed.<h4>Results</h4>Among the peripheral blood cell counts, transient elevation of the eosinophi  ...[more]

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