Total body irradiation (TBI) has been known to be an effective therapy in lymphoma and leukemia. This paper presents the results of our first 14 cases of chronic leukemia (CML 12 cases, CLL2 cases) treated by TBI during the period from September 1979 up to May 1981.
The criteria of clinical diagnosis of these patients were based upon its histories, relevant physical and hematologic findings. The accumulated exposure dose varied between 150 to 250 rads in each case.
At discharge from the hospital, the therapeutic effect on each case was judged by clinical status and hematologic indices: 5 cases achieved complete remission, 7 cases in partial remission, and 2 cases getting better.
When the accumulated exposure doses were less than 100 rads, the total white counts and the absolute values of neutrophils dropped gradually, and when they were more than 100 rads, a slight gradient of both counts might be seen. The absolute values of lymphocytes in 2 cases of CLL dropped sharply after irradiation.
After the TBI, all the stem cell cultures from the bone marrow specimen revealed a dropped yield of CFU-C. Besides, both abnormalities of chromosomes and the supermicro-structures of bone marrow cells were observed. This paper revealed that the lymphocytes were especially sensitive to irradiation. We are now going to search for the other sensitive radiobiological indices in lymphocytes.