Shirado Kengo, Uchiyae Yuya, Kobayashi Honoka, Miyake Ayane, Okuno Shota, Tanaka Masaya, Fukahori Mioko, Yamashita Toshihiro
Department of Rehabilitation, Iizuka Hospital, Iizuka, JPN.
Department of Otorhinolaryngology, Iizuka Hospital, Iizuka, JPN.
Cureus. 2025 May 20;17(5):e84455. doi: 10.7759/cureus.84455. eCollection 2025 May.
Cancer cachexia is a common complication in patients undergoing chemoradiotherapy (CRT) for head and neck cancer (HNC), leading to skeletal muscle loss, decreased physical function, and poor prognosis. Cachexia is frequently observed in patients with HNC, yet evidence supporting effective therapeutic interventions remains limited. We present the case of a man in his 60s with glottic cancer who developed sarcopenia and cancer cachexia following hospitalization for CRT. The patient received a multidisciplinary intervention combining individualized exercise therapy and oral nutritional supplementation tailored to his clinical status. The rehabilitation program was performed five times per week at moderate intensity and included both resistance and aerobic exercises. Following the intervention, the patient maintained skeletal muscle mass and improved physical function despite adverse effects associated with CRT. This case highlights the potential role of multidisciplinary rehabilitation in attenuating functional decline and preventing further muscle loss in patients with HNC undergoing CRT.
癌症恶病质是头颈部癌(HNC)患者接受放化疗(CRT)时常见的并发症,会导致骨骼肌流失、身体功能下降和预后不良。恶病质在HNC患者中很常见,但支持有效治疗干预的证据仍然有限。我们报告了一例60多岁的声门癌男性患者,在因CRT住院后出现肌肉减少症和癌症恶病质。该患者接受了多学科干预,结合了根据其临床状况量身定制的个体化运动疗法和口服营养补充剂。康复计划每周进行5次,强度适中,包括抗阻运动和有氧运动。干预后,尽管CRT存在不良反应,但患者仍维持了骨骼肌质量并改善了身体功能。该病例凸显了多学科康复在减轻HNC患者接受CRT时功能衰退和预防进一步肌肉流失方面的潜在作用。