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ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024

Late dental and bone alterations in patients after orbital rhabdomyosarcoma treatment.

Valkiria D Aiuto de Mattos, Sima Esther Ferman, Denise Maria Araújo Magalhães, Felipe Vieira da Costa, Héliton Spíndola Antunes, Arley Silva Junior

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Valkiria D Aiuto de MattosPediatric Oncology Division, Instituto Nacional de Câncer (INCA), Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0009-0002-6680-9948
Sima Esther FermanPediatric Oncology Division, Instituto Nacional de Câncer (INCA), Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0002-7076-6779
Denise Maria Araújo MagalhãesRadiation Oncology Division, Instituto Nacional de Câncer (INCA), Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0001-9616-156X
Felipe Vieira da CostaPrivate Practice and Pathology Department, Universidade Federal Fluminense (UFF), Niterói, Rio de Janeiro, Brazil.ORCID http://orcid.org/0009-0002-6779-061X
Héliton Spíndola AntunesClinical Research Division, Instituto Nacional de Câncer (INCA), Rua André Cavalcante, N° 37, 2° Andar, Rio de Janeiro, RJ, CEP-20231-050, Brazil. hspindola@inca.gov.br.ORCID http://orcid.org/0000-0002-1076-8019
Arley Silva JuniorPathology Department, Universidade Federal Fluminense (UFF), Niterói, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0003-1839-2789

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOrbital rhabdomyosarcoma is a rare soft tissue sarcoma in childhood but with a good prognosis. Treatment usually includes surgery, chemotherapy, and radiotherapy. This study aimed to evaluate long-term alterations in teeth and cranial bones in children, adolescents, and young adults after oncologic treatment for childhood orbital rhabdomyosarcoma.

methodThis was a cross-sectional study that evaluated patients treated for orbital rhabdomyosarcoma between 1988 and 2011. Demographic, clinical, and treatment data were collected during the study period; also, panoramic radiographs, cephalometric study, and photographs of the face were taken.

resultsEight long-term survivors were studied. Of those, 50% were male, 75% had less than 5 years of treatment, and 88% had only one of the orbits affected by the tumor. Regarding treatment, 50% received 50.4 Gy of radiotherapy in the orbit; the chemotherapy included vincristine, actinomycin D, and cyclophosphamide in 75% of the cases and also ifosfamide and etoposide in 25%. The children presented craniofacial alterations, mainly when radiotherapy occurred between 0 and 5 years old (p = 0.01). The mandibles also showed dental alterations, probably due to chemotherapy.

conclusionIn conclusion, orbital RMS patients treated with chemoradiotherapy, important dental, and facial bone alterations were found. The most significant were in the maxilla and close to the irradiation field. Dental and mandibular bone alterations were also found, indicating the probable chemotherapy action, as this region was not included in the irradiation field.

Indexed as

Orbital NeoplasmsRhabdomyosarcomaAdolescentAntineoplastic Combined Chemotherapy ProtocolsCancer SurvivorsChemoradiotherapyChildChild, PreschoolCross-Sectional StudiesCyclophosphamideFemaleHumansInfantMaleVincristineYoung AdultCyclophosphamideVincristineChildrenEmbryonic orbital rhabdomyosarcomaOrbitOrbit tumorRhabdomyosarcoma

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.