Oral mucosal melanoma treated with carbon ion radiotherapy: A case report

被引:0
作者
Musha A. [1 ,2 ]
Saitoh J.-I. [1 ]
Shirai K. [1 ]
Yokoo S. [2 ]
Ohno T. [1 ]
Nakano T. [1 ]
机构
[1] Gunma University, Heavy Ion Medical Center, 3-39-22 Showa-machi, Maebashi, Gunma
[2] Department of Stomatology and Maxillofacial Surgery, Gunma University, Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma
基金
日本学术振兴会;
关键词
Carbon ion radiotherapy; Concomitant chemotherapy; Head and neck tumor; Oral mucosal melanoma;
D O I
10.1186/s13256-016-1071-8
中图分类号
学科分类号
摘要
Background: Oral mucosal melanoma is a rare disease with a relatively poor prognosis. Carbon ion radiotherapy has been shown to be effective against radiotherapy-resistant tumors owing to its excellent dose concentration and high biological effect. Case presentation: Our patient was a 66-year-old Japanese man with oral mucosal melanoma of his right maxillary gingiva (T4aN0M0). He received carbon ion radiotherapy at 57.6 Gy (relative biological effectiveness) in 16 fractions for 4 weeks. Concomitant chemotherapy (dacarbazine + nimustine + vincristine) was administered at the same time as carbon ion radiotherapy initiation. Two courses of adjuvant chemotherapy were given after carbon ion radiotherapy. Although he experienced grade 2 acute oral mucositis, his symptoms improved within a few weeks of undergoing carbon ion radiotherapy. He was alive at the time of reporting, 35 months after treatment, without any recurrence. Late toxicity has not been observed. Conclusions: Carbon ion radiotherapy for oral mucosal melanoma resulted in a good local effect. © 2016 The Author(s).
引用
收藏
相关论文
共 12 条
[1]  
Patel S.G., Prasad M.L., Escrig M., Singh B., Shaha A.R., Kraus D.H., Et al., Primary mucosal malignant melanoma of the head and neck, Head Neck., 24, pp. 247-257, (2002)
[2]  
McLean N., Tighiouart M., Muller S., Primary mucosal melanoma of the head and neck. Comparison of clinical presentation and histopathologic features of oral and sinonasal melanoma, Oral Oncol, 44, pp. 1039-1046, (2008)
[3]  
Temam S., Mamelle G., Marandas P., Wibault P., Avril M.F., Janot F., Et al., Postoperative radiotherapy for primary mucosal melanoma of the head and neck, Cancer., 103, pp. 313-319, (2005)
[4]  
Tlholoe M.M., Khammissa R.A., Bouckaert M., Altini M., Lemmer J., Feller L., Oral mucosal melanoma: Some pathobiological considerations and an illustrative report of a case, Head Neck Pathol., 9, pp. 127-137, (2015)
[5]  
Kamada T., Tsujii H., Blakely E.A., Debus J., De Neve W., Durante M., Et al., Carbon ion radiotherapy in Japan: An assessment of 20 years of clinical experience, Lancet Oncol., 16, pp. 70412-70417, (2015)
[6]  
Yanagi T., Mizoe J.E., Hasegawa A., Takagi R., Bessho H., Onda T., Et al., Mucosal malignant melanoma of the head and neck treated by carbon ion radiotherapy, Int J Radiat Oncol Biol Phys., 74, pp. 15-20, (2009)
[7]  
Ahn H.J., Na I.I., Park Y.H., Cho S.Y., Lee B.C., Lee G.H., Et al., Role of adjuvant chemotherapy in malignant mucosal melanoma of the head and neck, Oral Oncol., 46, pp. 607-611, (2010)
[8]  
Wushou A., Hou J., Zhao Y.J., Miao X.C., Postoperative adjuvant radiotherapy improves loco-regional recurrence of head and neck mucosal melanoma, J Craniomaxillofac Surg., 43, pp. 553-558, (2015)
[9]  
Jingu K., Kishimoto R., Mizoe J.E., Hasegawa A., Bessho H., Tsuji H., Et al., Malignant mucosal melanoma treated with carbon ion radiotherapy with concurrent chemotherapy: Prognostic value of pretreatment apparent diffusion coefficient (ADC), Radiother Oncol., 98, pp. 68-73, (2011)
[10]  
Yamamoto A., Ishihara K., Clinical study of DAV + IFN-β therapy (combination adjuvant therapy with intravenous DTIC, ACNU and VCR, and local injection of IFN-β) for malignant melanoma, Int J Immunotherapy., 12, pp. 73-78, (1996)