Department of Periodontology, Academic Centre of Dentistry, Louwesweg 1, 1066 EA, Amsterdam, The Netherlands.
Oral Oncol. 2010 Jun;46(6):452-6. doi: 10.1016/j.oraloncology.2010.03.012. Epub 2010 Apr 18.
Mucosal damage is one of the most common adverse effects of radiotherapy and of cytotoxic therapy for cancer. With prevalence between 10% and 100%, depending of the cytotoxic regimen and patient-associated variables, this morbid condition represents a significant problem in oncology. In this paper we address oral mucositis and discuss its pathobiology, risk factors, impact and management in view of the most recent evidence. Despite of clear progress and the development of clinical guidelines, what we currently have to offer to patients to manage mucositis and oropharyngeal pain is still inadequate. Expansion of the knowledge of the pathogenesis of mucositis as well as a better insight into individual risk factors will provide opportunities to improve management strategies.
黏膜损伤是癌症放射治疗和细胞毒性治疗中最常见的不良反应之一。根据细胞毒性方案和与患者相关的变量,其患病率在 10%到 100%之间,这种病态情况在肿瘤学中是一个重大问题。本文我们将讨论口腔黏膜炎,并根据最新证据探讨其发病机制、危险因素、影响和管理。尽管取得了明显进展并制定了临床指南,但我们目前为患者提供的管理黏膜炎和口咽疼痛的方法仍然不足。对黏膜炎发病机制的认识的扩展以及对个体危险因素的更深入了解将为改善管理策略提供机会。