口腔计量化疗治疗晚期和转移性口腔鳞状细胞癌:时不我待

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Maxillofacial & Oral Surgery Pub Date : 2024-08-01 Epub Date: 2023-07-04 DOI:10.1007/s12663-023-01963-y
Naveena A N Kumar, Punit Singh Dikhit, Anmi Jose, Vedant Mehta, Ananth Pai, Adarsh Kudva, Mahadev Rao
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引用次数: 0

摘要

目的:本综述文章旨在汇编关于口服甲氧嘧啶化疗(OMCT)的现有最佳循证数据,包括其作用机制、效用和未来发展方向:方法:在PubMed数据库中对2011年至2021年过去10年间的英文文献进行了系统检索。关键词组合为 "口腔癌的口服甲硝唑化疗、OMCT 的作用机制、印度的口服甲硝唑化疗、OMCT 在口腔癌复发和姑息治疗中的应用":最近发表了大量研究报告,说明了口服甲硝唑化疗在头颈部鳞状细胞癌(HNSCC)中的作用,但具有将口服甲硝唑化疗作为一种公认疗法所需的证据级别的研究仍然很少。在对这些研究进行仔细分层后,我们发现OMCT在姑息治疗、复发和转移性HNSCC中大有可为。在辅助治疗的维持治疗和新辅助治疗中,也有一些有限的证据表明其作用:结论:根据目前的证据,OMCT 在治疗口腔 SCC 中具有明确的作用。对于无法耐受或负担不起标准姑息化疗的患者来说,OMCT 是一种替代疗法,对于等待手术的患者来说,OMCT 也是一种选择。然而,正在进行的和未来将进行的关于这种药物疗法的确切机制、适应症和影响的研究结果将有助于将 OMCT 纳入当前的标准疗法中:
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Oral Metronomic Chemotherapy in Advanced and Metastatic Oral Squamous Cell Carcinoma: A Need of the Hour.

Aim: The present review article aims to compile the best available evidence-based data on oral metronomic chemotherapy (OMCT) including its mechanism of action, its utility, and future directions.

Methods: A systematic search was carried out in PubMed database for available English literature from last 10 years between 2011 and 2021. Keyword combinations used were 'Oral Metronomic chemotherapy for oral cancer, mechanism of action of OMCT, Oral metronomic chemotherapy in India, OMCT in recurrent and palliative treatment of oral cancers.'

Results: Multitudes of studies have been published recently stating the role of OMCT in head and neck squamous cell carcinoma (HNSCC), but the studies with the category of level of evidence required to advocate OMCT as a recognized therapy are still scarce. On careful stratification of these studies, we found that OMCT has a lot to offer in palliative settings, recurrent, and metastatic HNSCC. There is some limited evidence of its role in adjuvant therapy as maintenance and in neoadjuvant setting.

Conclusion: With current evidence, there is a definite role of OMCT in treatment of oral SCC. OMCT can be an alternative in patients who are not tolerable or affordable for standard palliative chemotherapy and also an option for patient who are waiting for surgery. However, results of ongoing and future studies on exact mechanism, indications, and implications of this drug regimen would help in integration OMCT in current standard of therapy.

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来源期刊
Journal of Maxillofacial & Oral Surgery
Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.90
自引率
0.00%
发文量
138
期刊介绍: This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.
期刊最新文献
A Case of Cholangitis as a Nivolumab-Induced Immune-Related Adverse Event in a Patient with Pulmonary Metastasis After Surgery for Oral Cancer. Oral Management of Patients Undergoing Head and Neck Cancer Treatment. Oral Metronomic Chemotherapy in Advanced and Metastatic Oral Squamous Cell Carcinoma: A Need of the Hour. Neck Dissection Hypertrophic Scar to Wound Breakdown Due to Intra-lesional Steroid: A Complication Managed Well. Precision Medicine and Clinical Trials in Advanced and Metastatic Oral Cancer.
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