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Impact of age in radiation-induced oral toxicities of young patients with oral cancer

Grant number: 16/22862-2
Support Opportunities:Scholarships in Brazil - Scientific Initiation
Effective date (Start): June 01, 2017
Effective date (End): May 31, 2018
Field of knowledge:Health Sciences - Dentistry - Dental Clinics
Principal Investigator:Alan Roger dos Santos Silva
Grantee:Jaqueline de Lima Correia
Host Institution: Faculdade de Odontologia de Piracicaba (FOP). Universidade Estadual de Campinas (UNICAMP). Piracicaba , SP, Brazil

Abstract

An increase in the incidence of oral squamous cell carcinomas (OSCC) in patients younger than 45 years old has been demonstrated worldwide. However, the scenario of young patients with oral cancer is still controversial, which limits the comprehension of its pathogenesis, biological behavior of tumors and patients prognosis. Hence, there is a lack of well-defined cancer treatment protocols in this context. Similarly, the impact of age in the risk for developing radiation-related oral toxicities is also unknown. Objectives: Determine the incidence and the severity of oral toxicities associated with radiotherapy (RT) in young patients with OSCC. Material and methods: Observational clinical study, retrospective, controlled, involving patients diagnosed with OSCC who completed RT and received dental support from the Service of Dental Oncologic at the São Paulo State Cancer Institute (ICESP), from December 2013 to December 2016. The patients will be distributed into two groups: young (<45 years old, n=20) and elderly (>60 years old, n=20) and paired according to tumor location, clinical stage of disease and cancer treatment modality. Demographic information and clinicopathological data concerning acute oral toxicities will be collected relative to the 7th, 21st and 35th days of RT, with emphasis to the following clinical outcomes: oral mucositis, xerostomia, trismus, dysgeusia, dysphagia, pain, opportunistic infections and radiodermitis, according to the Common Terminology Criteria for Adverse Events version 4.0 and the World Health Organization (1979). Expected Results: Contribute to the better understanding of the problematic of side effects of cancer treatment in young patients with oral cancer.

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Scientific publications (7)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
PAGLIONI, MARIANA DE PAULI; KHURRAM, SYED ALI; RUIZ, BLANCA ICIAR INDAVE; LAUBY-SECRETAN, BEATRICE; NORMANDO, ANA GABRIELA; PRADO RIBEIRO, ANA CAROLINA; BRANDAO, THAIS BIANCA; PALMIER, NATALIA RANGEL; LOPES, MARCIO AJUDARTE; DA SILVA GUERRA, ELIETE NEVES; et al. Clinical predictors of malignant transformation and recurrence in oral potentially malignant disorders: A systematic review and meta-analysis. ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY, v. 134, n. 5, p. 15-pg., . (18/04657-8, 12/06138-1, 18/02233-6, 13/18402-8, 16/22862-2)
PALMIER, NATALIA RANGEL; MIGLIORATI, CESAR AUGUSTO; PRADO-RIBEIRO, ANA CAROLINA; QUERIDO DE OLIVEIRA, MARIA CECILIA; VECHIATO FILHO, ALJOMAR JOSE; DE GOES, MARIO FERNANDO; BRANDAO, THAIS BIANCA; LOPES, MARCIO AJUDARTE; SANTOS-SILVA, ALAN ROGER. Radiation-related caries: current diagnostic, prognostic, and management paradigms. ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY, v. 130, n. 1, p. 52-62, . (18/02233-6, 12/06138-1, 13/18402-8, 16/22862-2, 18/04657-8)
MORAIS-FARIA, KARINA; PALMIER, NATALIA RANGEL; CORREIA, JAQUELINE DE LIMA; DE CASTRO JUNIOR, GILBERTO; DIAS, REINALDO BRITO; PINTO, HENRIQUE DA GRACA; LOPES, MARCIO AJUDARTE; PRADO RIBEIRO, ANA CAROLINA; BRANDAO, THAIS BIANCA; SANTOS-SILVA, ALAN ROGER. Young head and neck cancer patients are at increased risk of developing oral mucositis and trismus. SUPPORTIVE CARE IN CANCER, v. 28, n. 9, p. 4345-4352, . (18/02233-6, 16/22862-2, 18/04657-8)
MARTINS, BEATRIZ NASCIMENTO FIGUEIREDO LEBRE; PALMIER, NATALIA RANGEL; PRADO-RIBEIRO, ANA CAROLINA; DE GOES, MARIO FERNANDO; LOPES, MARCIO AJUDARTE; BRANDA, THAIS BIANCA; RIVERA, CESAR; MIGLIORATI, CESAR AUGUSTO; EPSTEIN, JOEL B.; SANTOS-SILVA, ALAN ROGER. Awareness of the risk of radiation-related caries in patients with head and neck cancer: A survey of physicians, dentists, and patients. ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY, v. 132, n. 4, p. 398-408, . (16/22862-2, 13/18402-8, 12/06138-1, 18/04657-8, 18/02233-6)
PALMIER, NATALIA RANGEL; PRADO-RIBEIRO, ANA CAROLINA; MARIZ, BRUNO AUGUSTO LINHARES ALMEIDA; RODRIGUES-OLIVEIRA, LETICIA; PAGLIONI, MARIANA DE PAULI; NAPIMOGA, JULIANA TRINDADE CLEMENTE; PEDROSO, CAIQUE MARIANO; MORAIS-FARIA, KARINA; DE OLIVEIRA, MARIA CECILIA QUERIDO; VECHIATO-FILHO, ALJOMAR JOSE; et al. The impact of radiation caries on morbidity and mortality outcomes of head and neck squamous cell carcinoma patients. SPECIAL CARE IN DENTISTRY, v. N/A, p. 12-pg., . (18/04657-8, 12/06138-1, 18/02233-6, 13/18402-8, 16/22862-2)
PALMIER, NATALIA RANGEL; MADRID TROCONIS, CRISTHIAN CAMILO; COSTA NORMANDO, ANA GABRIELA; SILVA GUERRA, ELIETE NEVES; DAMACENO ARAUJO, ANNA LUIZA; ARISTIZABAL ARBOLEDA, LADY PAOLA; FONSECA, JESSICA MONTENEGRO; PAGLIONI, MARIANA DE PAULI; GOMES-SILVA, WAGNER; VECHIATO FILHO, ALJOMAR JOSE; et al. Impact of head and neck radiotherapy on the longevity of dental adhesive restorations: A systematic review and meta-analysis. JOURNAL OF PROSTHETIC DENTISTRY, v. 128, n. 5, p. 11-pg., . (12/06138-1, 18/02233-6, 16/22862-2, 18/04657-8, 13/18402-8)
PALMIER, NATALIA RANGEL; PAES LEME, ADRIANA FRANCO; DE ROSSI, TATIANE; TELLES, GUILHERME PIMENTEL; MORAIS-FARIA, KARINA; KOWALSKI, LUIZ PAULO; MARTA, GUSTAVO NADER; BRANDAO, THAIS BIANCA; ARANY, PRAVEEN R.; MIGLIORATI, CESAR AUGUSTO; et al. Salivary alpha-1-antitrypsin and macrophage migration inhibitory factor may be potential prognostic biomarkers for oncologic treatment-induced severe oral mucositis. SUPPORTIVE CARE IN CANCER, v. 29, n. 6, p. 2939-2946, . (18/04657-8, 15/12431-1, 12/06138-1, 13/18402-8, 16/22862-2, 16/07846-0, 18/02233-6)

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