免疫治疗相关的口服不良反应:即时后果,慢性和二次癌症
Sharon Elad1, Noam Yarom2,3, Yehuda Zadik4,5
1Oral Medicine, Eastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY 14620, USA.
Cancers
|October 14, 2023
概括
免疫疗法相关的不良反应 (irAEs) 可能导致虚弱的口腔症状,如疼痛和口腔干燥. 长期随访对于患有口腔状体病变的患者至关重要,因为可能导致口腔癌的发展.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 口腔医学是指口腔医学.
背景情况:
- 免疫疗法相关的不良反应 (irAEs) 通常影响口腔组织,以病变和唾液功能障碍的形式呈现.
- 关于口服irAEs的临床影响和谱的描述有限.
研究的目的:
- 在接受免疫治疗的患者中描述口服IRAE.
- 描述口服irAEs的即时和晚期临床影响,治疗策略和致癌潜力.
主要方法:
- 对14名口服irrAEs的患者进行了回顾性临床病历审查.
- 分析直接影响,治疗干预措施,irAE慢性和口腔癌的发展.
主要成果:
- 常见症状包括疼痛和口腔干燥,影响口服摄入量.
- 治疗范围从息治疗和全身类固醇到6名患者的免疫疗法中止.
- 使用了光生物调节和唾液腺灌等创新治疗方法;晚期后果包括白血病和口腔癌.
结论:
- 接受免疫治疗的患者可能会出现严重的口服IRAE,需要对早期干预进行监测.
- 由于口腔癌的风险增加,建议对口腔状体病变进行长期随访.
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