Successful treatment of radiation-induced mucositis with proton pump inhibitor administration: A report of two laryngeal cancer cases

Abstract Presently, the relationship between laryngopharyngeal reflux (LPR) and radiation-induced mucositis has not been fully explored. In the present study, we report 2 cases of laryngeal cancer in which radiation-induced mucositis ameliorated after proton pump inhibitor (PPI) administration. Case...

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Veröffentlicht in:Auris, nasus, larynx nasus, larynx, 2017-02, Vol.44 (1), p.122-125
Hauptverfasser: Eguchi, Kohtaro, Suzuki, Masami, Ida, Shota, Kudo, Shigehiro, Ando, Ken, Ebara, Takeshi, Higuchi, Keiko
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container_end_page 125
container_issue 1
container_start_page 122
container_title Auris, nasus, larynx
container_volume 44
creator Eguchi, Kohtaro
Suzuki, Masami
Ida, Shota
Kudo, Shigehiro
Ando, Ken
Ebara, Takeshi
Higuchi, Keiko
description Abstract Presently, the relationship between laryngopharyngeal reflux (LPR) and radiation-induced mucositis has not been fully explored. In the present study, we report 2 cases of laryngeal cancer in which radiation-induced mucositis ameliorated after proton pump inhibitor (PPI) administration. Case 1 was diagnosed with T1aN0M0 right glottis carcinoma and was treated with radiation therapy. Grade 3 mucositis occurred after administration of 46 Gy irradiation. PPI was administered and mucositis ameliorated quickly without cessation of radiation therapy. Case 2 was diagnosed with T2N0M0 supraglottic cancer and was treated with concurrent chemoradiation therapy. Grade 3 mucositis occurred after administration of 44 Gy irradiation. PPI was administered and mucositis ameliorated quickly without cessation of chemoradiation therapy. In both cases, a remarkable therapeutic effect of PPI was observed in the perilaryngeal areas including the epiglottic vallecula, arytenoid, and postcricoid area. In both cases, LPR involvement was suspected before the onset of radiation therapy. The two cases presented here, indicated a causal relationship between LPR and radiation-induced mucositis. In cases of severe mucositis in the perilaryngeal area in patients with LPR prior to radiation therapy, PPI administration may be an effective therapeutic option.
doi_str_mv 10.1016/j.anl.2016.05.006
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In the present study, we report 2 cases of laryngeal cancer in which radiation-induced mucositis ameliorated after proton pump inhibitor (PPI) administration. Case 1 was diagnosed with T1aN0M0 right glottis carcinoma and was treated with radiation therapy. Grade 3 mucositis occurred after administration of 46 Gy irradiation. PPI was administered and mucositis ameliorated quickly without cessation of radiation therapy. Case 2 was diagnosed with T2N0M0 supraglottic cancer and was treated with concurrent chemoradiation therapy. Grade 3 mucositis occurred after administration of 44 Gy irradiation. PPI was administered and mucositis ameliorated quickly without cessation of chemoradiation therapy. In both cases, a remarkable therapeutic effect of PPI was observed in the perilaryngeal areas including the epiglottic vallecula, arytenoid, and postcricoid area. In both cases, LPR involvement was suspected before the onset of radiation therapy. 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subjects Aged
Carcinoma - radiotherapy
Glottis
Head and neck cancer
Humans
Laryngeal Neoplasms - radiotherapy
Laryngitis - drug therapy
Laryngopharyngeal reflux
Male
Middle Aged
Mucositis
Mucositis - drug therapy
Otolaryngology
Proton pump inhibitor
Proton Pump Inhibitors - therapeutic use
Radiation
Radiation Injuries - drug therapy
title Successful treatment of radiation-induced mucositis with proton pump inhibitor administration: A report of two laryngeal cancer cases
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