Current treatment, particle radiotherapy, and boron neutron capture therapy for advanced oral cancer in patients.

Autor: Yura, Yoshiaki, Tada, Shinya, Fujita, Yusei, Hamada, Masakazu
Zdroj: Oral Science International; Aug2019, Vol. 16 Issue 2, p49-68, 20p
Abstrakt: Malignant tumors such as squamous cell carcinoma (SCC), malignant salivary gland tumor, mucosal melanoma, sarcoma, and lymphoma occur in the oral cavity. Among them, oral SCC accounts for 90%. The frequency of lymph node metastasis of oral SCC varies depending on the site of occurrence, which affects the prognosis. Surgery is the primary treatment for oral cancer, but when the tumor extends, postoperative radiation with or without chemotherapy is required. Photons including X‐rays and γ‐rays are the most widely used types of ionizing radiation in cancer radiotherapy. Particle radiotherapy using protons and carbon ions shows a highly focused dose distribution to tumor tissues. Carbon ion therapy is effective for salivary gland tumors, malignant melanomas, and sarcomas which are less susceptible to photons. Furthermore, boron neutron capture therapy with tumor selectivity is expected to further reduce damage to surrounding normal cells. The introduction of novel radiotherapy to current treatment might improve the prognosis of patients and organ preservation. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index