Xerostomia and hypofunction of the salivary glands in cancer therapy

Support Care Cancer. 2003 Apr;11(4):207-25. doi: 10.1007/s00520-002-0407-7. Epub 2002 Nov 23.

Abstract

This review presents data from the literature on oral adverse reactions from the perspectives of subjective feelings of dry mouth (xerostomia) and objective measures of salivary gland hypofunction during and after cancer therapy. Special emphasis is paid to the mechanisms behind xerostomia, impaired saliva secretion and changes in the composition of saliva and to how these relate to radiation therapy involving the salivary glands and to systemic chemotherapy. The oral complications that relate to such iatrogenic changes in salivary gland function are also discussed.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / adverse effects*
  • Antineoplastic Agents / pharmacokinetics
  • Electrolytes / radiation effects
  • Humans
  • Mouth Diseases / etiology
  • Neoplasms / drug therapy*
  • Neoplasms / radiotherapy*
  • Radiotherapy / adverse effects*
  • Saliva / drug effects
  • Saliva / radiation effects
  • Salivary Glands / drug effects
  • Salivary Glands / physiology
  • Salivary Glands / radiation effects
  • Salivary Proteins and Peptides / drug effects
  • Salivary Proteins and Peptides / radiation effects
  • Time
  • Xerostomia / etiology*
  • Xerostomia / physiopathology
  • Xerostomia / prevention & control

Substances

  • Antineoplastic Agents
  • Electrolytes
  • Salivary Proteins and Peptides