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. 2019 Feb 26;11(2):e4142. doi: 10.7759/cureus.4142

Figure 2. Relative number of lymphocytes before and after radiation treatment.

Figure 2

Peripheral blood was obtained at day 0, 7, 16, 30, 40 and 99 and the number of lymphocytes was determined. Ionizing radiation (X-rays) was delivered at a dose of 3 Gy per daily fraction, at days 0-4 and 7-11. eMIP was administered at days 7-11 after each radiation treatment.

Group 1: The patients in this group, maintained lymphocyte levels around or above 1000 cells/μl before irradiation. No. 1. Ovarian cancer (endometroid adenocarcinoma) with lymph node metastasis. Radiation: delivered to the supraclavicular and the pelvic lymph nodes No. 2. Colon cancer (moderately differentiated tubular adenocarcinoma) with lung lymph node metastasis. Radiation: delivered to the pelvic and the superficial cervical lymph nodes. No. 3. Breast cancer (moderately differentiated tubular adenocarcinoma) with liver metastasis. Radiation: delivered to the liver left lobe S4. No. 4. Submandibular gland cancer (basal cell adenocarcinoma) with lung metastasis. Radiation: delivered to the left lung. No. 5. Colon cancer (high-differentiated adenocarcinoma) with liver metastasis. Radiation: delivered to the liver S4. No. 6. Sigmoid colon cancer with lymph node metastasis. Radiation: delivered to the supraclavicular and the pelvic lymph nodes. No. 7. Colon cancer (high differentiated adenocarcinoma) with lung metastasis. Radiation: derlivered to the right middle, the left lower and the upper lobes.

Group 2 (Inset): The patients in this group had lower numbers of lymphocytes even before irradiation (590-730 cells/μl). No. 8. Ovarian cancer (granulosa cell tumor) mesenteric recurrence. Radiation: delivered to the left iliopsoas muscle and the pelvis. No. 9. Oropharynx cancer (squamous cell carcinoma) with lung and cervical lymph node metastasis. Radiation: delivered to the left upper lobe. No. 10. Ovarian cancer dissemination (serous papillary cystic carcinoma). Radiation: delivered to the left pelvis and the rectal and the abdominal walls.