医学
粘膜炎
内科学
头颈部癌
放化疗
减肥
胃肠病学
癌症
放射治疗
作者
Takatsugu Mizumachi,Satoshi Kano,Akihiro Homma,Mikiko Akazawa,Chiharu Hasegawa,Yoko Shiroishi,Chiaki Okamoto,Satomi Kumagai,Masaharu Nishimura,Hiroyo Takasaki,Hiroshi Takeda,Koichi Yasuda,Hideki Minatogawa,Yasuhiro Dekura,Rikiya Onimaru,Hiroki Shirato,Satoshi Fukuda
摘要
BACKGROUND Oral mucositis and body weight loss are the most critical conditions known to lead to the discontinuation of chemoradiotherapy for head and neck cancer. We investigated the effect of a nutritional supplement with a high blend ratio of w-3 fatty acids(Prosure®)on body weight loss, oral mucositis, and the completion rate of chemoradiotherapy in patients with oropharyngeal and hypopharyngeal cancer. PATIENTS AND METHODS The study group comprised patients with oropharyngeal and hypopharyngeal cancer who were treated with concomitant cisplatin and 70 Gy of radiotherapy. These patients received 2 packs of Prosure®per day during chemoradiotherapy. RESULTS A total of 17 patients were included in this study. The reduction in body weight was significantly improved compared with that in the historical control group that did not receive Prosure®(7.3% vs 10.3%, p<0.01), and the rate of Grade 3-4 oral mucositis was significantly reduced for the patient groups that received Prosure®(CTCAE v3.0 GradeB3; 24% vs 58%, p<0.05). The completion rate of chemoradiotherapy was not significantly different between both groups(77% vs 60%, NS). CONCLUSIONS A nutritional supplement with a high blend ratio of w-3 fatty acids(Prosure®)had effects on oral mucositis and body weight loss in head and neck cancer patients treated with chemoradiotherapy.
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