PMID- 27264874 OWN - NLM STAT- MEDLINE DCOM- 20170306 LR - 20170723 IS - 1879-1476 (Electronic) IS - 0385-8146 (Linking) VI - 44 IP - 1 DP - 2017 Feb TI - Successful treatment of radiation-induced mucositis with proton pump inhibitor administration: A report of two laryngeal cancer cases. PG - 122-125 LID - S0385-8146(16)30155-9 [pii] LID - 10.1016/j.anl.2016.05.006 [doi] AB - Presently, the relationship between laryngopharyngeal reflux (LPR) and radiation-induced mucositis has not been fully explored. In the present study, we report 2 cases of laryngeal cancer in which radiation-induced mucositis ameliorated after proton pump inhibitor (PPI) administration. Case 1 was diagnosed with T1aN0M0 right glottis carcinoma and was treated with radiation therapy. Grade 3 mucositis occurred after administration of 46Gy irradiation. PPI was administered and mucositis ameliorated quickly without cessation of radiation therapy. Case 2 was diagnosed with T2N0M0 supraglottic cancer and was treated with concurrent chemoradiation therapy. Grade 3 mucositis occurred after administration of 44Gy irradiation. PPI was administered and mucositis ameliorated quickly without cessation of chemoradiation therapy. In both cases, a remarkable therapeutic effect of PPI was observed in the perilaryngeal areas including the epiglottic vallecula, arytenoid, and postcricoid area. In both cases, LPR involvement was suspected before the onset of radiation therapy. The two cases presented here, indicated a causal relationship between LPR and radiation-induced mucositis. In cases of severe mucositis in the perilaryngeal area in patients with LPR prior to radiation therapy, PPI administration may be an effective therapeutic option. CI - Copyright (c) 2016 Elsevier Ireland Ltd. All rights reserved. FAU - Eguchi, Kohtaro AU - Eguchi K AD - Division of Head and Neck Surgery, Gunma Prefectural Cancer Center, Ota, Gunma, Japan; Department of Clinical Anatomy, Tokyo Medical and Dental University Graduate School, Bunkyo-ku, Tokyo, Japan. Electronic address: kohtaro.eguchi@gmail.com. FAU - Suzuki, Masami AU - Suzuki M AD - Division of Head and Neck Surgery, Gunma Prefectural Cancer Center, Ota, Gunma, Japan. FAU - Ida, Shota AU - Ida S AD - Division of Head and Neck Surgery, Gunma Prefectural Cancer Center, Ota, Gunma, Japan. FAU - Kudo, Shigehiro AU - Kudo S AD - Division of Radiation Oncology, Gunma Prefectural Cancer Center, Ota, Gunma, Japan. FAU - Ando, Ken AU - Ando K AD - Division of Radiation Oncology, Gunma Prefectural Cancer Center, Ota, Gunma, Japan. FAU - Ebara, Takeshi AU - Ebara T AD - Division of Radiation Oncology, Gunma Prefectural Cancer Center, Ota, Gunma, Japan. FAU - Higuchi, Keiko AU - Higuchi K AD - Division of Radiation Oncology, Isesaki Municipal Hospital, Isesaki, Gunma, Japan. LA - eng PT - Case Reports PT - Journal Article DEP - 20160602 PL - Netherlands TA - Auris Nasus Larynx JT - Auris, nasus, larynx JID - 7708170 RN - 0 (Proton Pump Inhibitors) SB - IM MH - Aged MH - Carcinoma/*radiotherapy MH - Glottis MH - Humans MH - Laryngeal Neoplasms/*radiotherapy MH - Laryngitis/*drug therapy MH - Male MH - Middle Aged MH - Mucositis/*drug therapy MH - Proton Pump Inhibitors/*therapeutic use MH - Radiation Injuries/*drug therapy OTO - NOTNLM OT - Head and neck cancer OT - Laryngopharyngeal reflux OT - Mucositis OT - Proton pump inhibitor OT - Radiation EDAT- 2016/06/07 06:00 MHDA- 2017/03/07 06:00 CRDT- 2016/06/07 06:00 PHST- 2016/02/23 00:00 [received] PHST- 2016/04/21 00:00 [revised] PHST- 2016/05/13 00:00 [accepted] PHST- 2016/06/07 06:00 [pubmed] PHST- 2017/03/07 06:00 [medline] PHST- 2016/06/07 06:00 [entrez] AID - S0385-8146(16)30155-9 [pii] AID - 10.1016/j.anl.2016.05.006 [doi] PST - ppublish SO - Auris Nasus Larynx. 2017 Feb;44(1):122-125. doi: 10.1016/j.anl.2016.05.006. Epub 2016 Jun 2.