Mucosal Injury during Anti-Cancer Treatment: From Pathobiology to Bedside

Mucositis is one of the most common debilitating side effects related to chemotherapy (CT), radiation therapy (RT), targeted agents and immunotherapy. It is a complex process potentially involving any portion of the gastrointestinal tract and injuring the mucosa, leading to inflammatory or ulcerativ...

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Main Authors: Debora Basile, Paola Di Nardo, Carla Corvaja, Silvio Ken Garattini, Giacomo Pelizzari, Camilla Lisanti, Lucia Bortot, Lucia Da Ros, Michele Bartoletti, Matteo Borghi, Lorenzo Gerratana, Davide Lombardi, Fabio Puglisi
Format: Article
Language:English
Published: MDPI AG 2019-06-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/11/6/857
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author Debora Basile
Paola Di Nardo
Carla Corvaja
Silvio Ken Garattini
Giacomo Pelizzari
Camilla Lisanti
Lucia Bortot
Lucia Da Ros
Michele Bartoletti
Matteo Borghi
Lorenzo Gerratana
Davide Lombardi
Fabio Puglisi
author_facet Debora Basile
Paola Di Nardo
Carla Corvaja
Silvio Ken Garattini
Giacomo Pelizzari
Camilla Lisanti
Lucia Bortot
Lucia Da Ros
Michele Bartoletti
Matteo Borghi
Lorenzo Gerratana
Davide Lombardi
Fabio Puglisi
author_sort Debora Basile
collection DOAJ
description Mucositis is one of the most common debilitating side effects related to chemotherapy (CT), radiation therapy (RT), targeted agents and immunotherapy. It is a complex process potentially involving any portion of the gastrointestinal tract and injuring the mucosa, leading to inflammatory or ulcerative lesions. Mechanisms and clinical presentation can differ according both to the anatomic site involved (oral or gastrointestinal) and the treatment received. Understanding the pathophysiology and management of mucosal injury as a secondary effect of anti-cancer treatment is an important area of clinical research. Prophylaxis, early diagnosis, and adequate management of complications are essential to increase therapeutic success and, thus, improve the survival outcomes of cancer patients. This review focuses on the pathobiology and management guidelines for mucositis, a secondary effect of old and new anti-cancer treatments, highlighting recent advances in prevention and discussing future research options.
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spelling doaj.art-a3e32558a2b641beba8d9241e4b1eb632023-09-02T23:20:36ZengMDPI AGCancers2072-66942019-06-0111685710.3390/cancers11060857cancers11060857Mucosal Injury during Anti-Cancer Treatment: From Pathobiology to BedsideDebora Basile0Paola Di Nardo1Carla Corvaja2Silvio Ken Garattini3Giacomo Pelizzari4Camilla Lisanti5Lucia Bortot6Lucia Da Ros7Michele Bartoletti8Matteo Borghi9Lorenzo Gerratana10Davide Lombardi11Fabio Puglisi12Department of Medicine (DAME), University of Udine, 33100 Udine, ItalyDepartment of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, 33081 Aviano, ItalyDepartment of Medicine (DAME), University of Udine, 33100 Udine, ItalyDepartment of Medicine (DAME), University of Udine, 33100 Udine, ItalyDepartment of Medicine (DAME), University of Udine, 33100 Udine, ItalyDepartment of Medicine (DAME), University of Udine, 33100 Udine, ItalyDepartment of Medicine (DAME), University of Udine, 33100 Udine, ItalyDepartment of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, 33081 Aviano, ItalyDepartment of Medicine (DAME), University of Udine, 33100 Udine, ItalyIntensive Care Unit, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, 33081 Aviano, ItalyDepartment of Medicine (DAME), University of Udine, 33100 Udine, ItalyDepartment of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, 33081 Aviano, ItalyDepartment of Medicine (DAME), University of Udine, 33100 Udine, ItalyMucositis is one of the most common debilitating side effects related to chemotherapy (CT), radiation therapy (RT), targeted agents and immunotherapy. It is a complex process potentially involving any portion of the gastrointestinal tract and injuring the mucosa, leading to inflammatory or ulcerative lesions. Mechanisms and clinical presentation can differ according both to the anatomic site involved (oral or gastrointestinal) and the treatment received. Understanding the pathophysiology and management of mucosal injury as a secondary effect of anti-cancer treatment is an important area of clinical research. Prophylaxis, early diagnosis, and adequate management of complications are essential to increase therapeutic success and, thus, improve the survival outcomes of cancer patients. This review focuses on the pathobiology and management guidelines for mucositis, a secondary effect of old and new anti-cancer treatments, highlighting recent advances in prevention and discussing future research options.https://www.mdpi.com/2072-6694/11/6/857mucosal injurymucositismucosal impairmentanti-cancer treatments
spellingShingle Debora Basile
Paola Di Nardo
Carla Corvaja
Silvio Ken Garattini
Giacomo Pelizzari
Camilla Lisanti
Lucia Bortot
Lucia Da Ros
Michele Bartoletti
Matteo Borghi
Lorenzo Gerratana
Davide Lombardi
Fabio Puglisi
Mucosal Injury during Anti-Cancer Treatment: From Pathobiology to Bedside
Cancers
mucosal injury
mucositis
mucosal impairment
anti-cancer treatments
title Mucosal Injury during Anti-Cancer Treatment: From Pathobiology to Bedside
title_full Mucosal Injury during Anti-Cancer Treatment: From Pathobiology to Bedside
title_fullStr Mucosal Injury during Anti-Cancer Treatment: From Pathobiology to Bedside
title_full_unstemmed Mucosal Injury during Anti-Cancer Treatment: From Pathobiology to Bedside
title_short Mucosal Injury during Anti-Cancer Treatment: From Pathobiology to Bedside
title_sort mucosal injury during anti cancer treatment from pathobiology to bedside
topic mucosal injury
mucositis
mucosal impairment
anti-cancer treatments
url https://www.mdpi.com/2072-6694/11/6/857
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