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Management of oral mucositis in patients with head and neck cancer receiving chemoradiotherapy and/or molecular targeted therapy / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery ; (12): 505-508, 2011.
Artículo en Chino | WPRIM | ID: wpr-250247
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the prevalence and treatment of oral mucositis caused by concurrent chemoradiotherapy and/or molecular targeted therapy in the patients with advanced squamous cell carcinoma of the head and neck.</p><p><b>METHODS</b>A retrospective study of the incidence and treatment of oral mucositis was performed in 179 patients (155 male and 24 female;124 patients at stage III and 55 patients at stage IV) receiving concurrent chemotherapy and (or) molecular targeted therapy between November 2007 and November 2010. Grade I, II, III and IV oral mucositis occurred respectively in 49, 50, 67 and 13 patients. All the patients received oral mucositis prophylaxis. After the occurrence of oral mucositis, conventional treatment of mucositis combined with quinolone antibiotics were applied.</p><p><b>RESULTS</b>Of the patients, 99 patients with grade I or II and 4 patients with grade III oral mucositis were effectively managed by conventional treatment; 76 patients with grade III or IV oral mucositis were also significantly controled by conventional treatment plus antibiotics. After the treatments, all patients with oral mucositis were under control, with the decrease in the grade of oral mucositis, the reduction of oral pain and the improvement in ability to eat. None of them had radiation treatment breaks.</p><p><b>CONCLUSIONS</b>Combined modality therapy can effectively control chemoradiation-induced oral mucositis in patients with head and neck squamous cell carcinoma, grade I and II oral mucositis were cured by conventional treatment and quinolone antibiotics play a key role in the treatments for grade III and IV oral mucositis.</p>
Asunto(s)
Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Radioterapia / Estomatitis / Carcinoma de Células Escamosas / Estudios Retrospectivos / Terapia Combinada / Quimioterapia / Terapia Molecular Dirigida / Quimioradioterapia / Neoplasias de Cabeza y Cuello Tipo de estudio: Estudio observacional Límite: Adolescente / Adulto / Anciano / Aged80 / Femenino / Humanos / Masculino Idioma: Chino Revista: Chinese Journal of Otorhinolaryngology Head and Neck Surgery Año: 2011 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Radioterapia / Estomatitis / Carcinoma de Células Escamosas / Estudios Retrospectivos / Terapia Combinada / Quimioterapia / Terapia Molecular Dirigida / Quimioradioterapia / Neoplasias de Cabeza y Cuello Tipo de estudio: Estudio observacional Límite: Adolescente / Adulto / Anciano / Aged80 / Femenino / Humanos / Masculino Idioma: Chino Revista: Chinese Journal of Otorhinolaryngology Head and Neck Surgery Año: 2011 Tipo del documento: Artículo