open access

Vol 72, No 4 (2022)
Review paper
Published online: 2022-08-22
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Tumor and normal tissue radiation side effects

Bogusław Maciejewski1
·
Nowotwory. Journal of Oncology 2022;72(4):242-246.
Affiliations
  1. Div. Research Programmes, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice Branch, Gliwice, Poland

open access

Vol 72, No 4 (2022)
Radiotherapy in the combined treatment
Published online: 2022-08-22

Abstract

This paper presents the various side effects of radiation including tumor cure probability (TCP) accompanied with fre­quently severe but transient acute side effects in the surrounding normal (mainly epithelial) tissues and also the risk of late side effects in normal organs, confined to their partial or whole volumes. Besides the local side effects, unexpected exposure to low radiation doses results in the stochastic risk of mutagenic, teratogenic or cancerogenic side effects. In order to minimize the risk of various radiation side effects, some obligatory radiation protection constraints should be restrictively fulfilled.

Abstract

This paper presents the various side effects of radiation including tumor cure probability (TCP) accompanied with fre­quently severe but transient acute side effects in the surrounding normal (mainly epithelial) tissues and also the risk of late side effects in normal organs, confined to their partial or whole volumes. Besides the local side effects, unexpected exposure to low radiation doses results in the stochastic risk of mutagenic, teratogenic or cancerogenic side effects. In order to minimize the risk of various radiation side effects, some obligatory radiation protection constraints should be restrictively fulfilled.

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Keywords

TCP; acute and late side effects; teratogenesis; carcinogenesis

About this article
Title

Tumor and normal tissue radiation side effects

Journal

Nowotwory. Journal of Oncology

Issue

Vol 72, No 4 (2022)

Article type

Review paper

Pages

242-246

Published online

2022-08-22

Page views

3770

Article views/downloads

255

DOI

10.5603/NJO.2022.0037

Bibliographic record

Nowotwory. Journal of Oncology 2022;72(4):242-246.

Keywords

TCP
acute and late side effects
teratogenesis
carcinogenesis

Authors

Bogusław Maciejewski

References (16)
  1. McBride WH, Withers HR, Schaue D. Biological basis of radiation therapy. In: Perez CA, Brandy LW. ed. Principles and Practice of Radiation Oncology. VII ed. Wolters-Kluwer, Philadelphia 2018: 87–111.
  2. Fletcher GH. Textbook of Radiotherapy. I, II and III eds. Lea and Febiger, Philadelphia 1966, 1973, 1980.
  3. Maciejewski B, Miszczyk L, Tarnawski R, et al. How the game is played--challenge between therapeutic benefit and acute toxicity in fractionated radiotherapy. Front Radiat Ther Oncol. 2002; 37: 174–184.
  4. Maciejewski B, Suwiński R, Withers HR, et al. To boost or not to boost in radiotherapy. Nowotwory J Oncol. 2004; 54(5): 446–458.
  5. Withers HR, Taylor JM, Maciejewski B. The hazard of accelerated tumor clonogen repopulation during radiotherapy. Acta Oncol. 1988; 27(2): 131–146.
  6. Maciejewski B, Withers HR, Taylor JM, et al. Dose fractionation and regeneration in radiotherapy for cancer of the oral cavity and oropharynx. Part 2. Normal tissue responses: acute and late effects. Int J Radiat Oncol Biol Phys. 1990; 18(1): 101–111.
  7. Maciejewski B, Blamek S, Składowski K, et al. Radiobiological rationale for stereotactic hypofractionated radiosurgery Part II. Normal tissue tolerance — dose constraints. Nowotwory. Journal of Oncology. 2018; 68(2): 79–86.
  8. Timmerman RD. An overview of hypofractionation and introduction to this issue of seminars in radiation oncology. Semin Radiat Oncol. 2008; 18(4): 215–222.
  9. Rubin P, Constine LS, Williams JP. Late effect of cancer treatment. In: Perez CA, Brady Lw. ed. Principles and Practice of Radiation Oncology. Lippincott-Raven Publ, Philadelphia 1998: 155–212.
  10. Rubin P. Clinical Oncology. A Multidisciplinary Approach. WB Saunders, Philadelphia 1993.
  11. Maciejewski B, Suwiński R, Blamek S. Radiobiologia kliniczna w radioonkologii. Med Prak, Kraków 2019: 25–124.
  12. Kaanders J, Kogel Av, Ang KK. Altered fractionation: limited by mucosal reactions? Radiotherapy and Oncology. 1999; 50(3): 247–260.
  13. Denham J, Walker Q, Lamb D, et al. Mucosal regeneration during radiotherapy. Radiotherapy and Oncology. 1996; 41(2): 109–118.
  14. Denham JW, Hamilton CS, Simpson SA, et al. Acute reaction parameters for human oropharyngeal mucosa. Radiotherapy and Oncology. 1995; 35(2): 129–137.
  15. Maciejewski B, Miszczyk L, Składowski K. Which normal tissue reactions could be considered as dose limiting for altered radiotherapy in head and neck cancer? Medimond Inc 2022: 714–730.
  16. ICRP Publication 60. Documentations of the International Commission on Radiobiological Protection. Pergamon Press, Oxford, New York 1991.

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