Late oral mucosa alterations after radiotherapy for head and neck cancer assessed by exfoliative cytology.

Abstract:

AIM:Late oral mucosa changes after radiotherapy for head and neck cancer have been poorly studied. This study aimed to determine long-term effects of radiotherapy on oral mucosa using exfoliative oral cytology. PATIENTS AND METHODS:Fifty patients with cancer were enrolled, five of whom in order to validate microscopic analysis. Smears were collected at programmed visit; a score was used to rank possible cytological alterations. Presence of inflammation was also microscopically described and compared to blood count tests. RESULTS:Epithelial cells revealed a peculiar 'folding' phenotype, not related to chemotherapy, total dose, or to the effective dose delivered to mucosa. Inflammation described was related to the score for 'folding' cells; moreover, score decreased in the presence of a higher lymphocyte count, while it was not altered by neutrophil count. CONCLUSION:We suggest application of exfoliative cytology to study radiation injury and the variability of individual response of oral mucosa to radiation.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Massaro P,Corbella F,DI Liberto R,Paolini A,Pasi F,Tinelli C,DE Silvestri A,Nano R

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

837-44

issue

2

eissn

0250-7005

issn

1791-7530

pii

34/2/837

journal_volume

34

pub_type

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