Oral toxicities associated with immunotherapy and targeted therapy in cancer treatment

Oral Oncology Reports Pub Date : 2025-03-01 Epub Date: 2025-02-07 DOI:10.1016/j.oor.2025.100724
Michel Souza Sueira , Juliana Borges de Lima Dantas , Gabriela Botelho Martins , Daniela Maria Santana Leal , Juliana Santos de Jesus Azevedo , Manoela Carrera
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Abstract

In the context of cancer treatment, surgery, chemotherapy and radiotherapy are among the main therapies used. However, emerging therapies are gaining prominence. The use of immunotherapy and targeted therapy, even though they are based on improving the immune system's response, are associated with the prevalence of certain toxicities, some of them in the oral cavity. The aim of this review was to describe the main oral toxicities associated with immunotherapy and targeted therapy. It was observed that there is a prevalence of xerostomia, dysgeusia, lichenoid reactions, stomatitis, among others, which have a direct impact on patients' quality of life. Although these oral manifestations present a low risk of mortality, proper diagnosis and treatment is essential in order to promote clinical comfort for the patient during the therapeutic period.
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在癌症治疗中与免疫治疗和靶向治疗相关的口服毒性
在癌症治疗的背景下,手术、化疗和放疗是主要的治疗方法。然而,新兴疗法正在获得重视。免疫疗法和靶向治疗的使用,尽管它们是基于改善免疫系统的反应,但与某些毒性的流行有关,其中一些在口腔中。本综述的目的是描述与免疫治疗和靶向治疗相关的主要口服毒性。观察发现,患者普遍存在口干、吞咽困难、苔藓样反应、口炎等,直接影响患者的生活质量。虽然这些口腔症状的死亡率较低,但正确的诊断和治疗对于促进患者在治疗期间的临床舒适至关重要。
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