Targeted therapies in ameloblastomas and amelobastic carcinoma-A systematic review

Bologna-Molina, Ronell and Schuch, Lauren and Magliocca, Kelly and van Heerden, Willie and Robinson, Liam and Bilodeau, Elizabeth Ann and Hussaini, Haizal Mohd and Soluk-Tekkesin, Merva and Adisa, Akinyele Olumuyiwa and Tilakaratne, Wanninayake Mudiyanselage and Li, Jiang and Gomez, Ricardo Santiago and Hunter, Keith David (2024) Targeted therapies in ameloblastomas and amelobastic carcinoma-A systematic review. Oral Diseases, 30 (6). pp. 3571-3581. ISSN 1354-523X, DOI https://doi.org/10.1111/odi.14962.

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Official URL: https://doi.org/10.1111/odi.14962

Abstract

Targeted therapy has the potential to be used in the neoadjuvant setting for odontogenic tumors, reducing the morbidities associated with major surgery. In this regard, the aim of this study was to summarize the current evidence on the different forms of targeted therapy, effectiveness, and drawbacks of this course of treatment. Four databases were searched electronically without regard to publication date or language. Grey literature searches and manual searches were also undertaken. Publications with sufficient clinical data on targeted therapy for odontogenic tumors were required to meet the criteria for eligibility. The analysis of the data was descriptive. A total of 15 papers comprising 17 cases (15 ameloblastomas and 2 ameloblastic carcinomas) were included. Numerous mutations were found, with BRAF V600E being most common. Dabrafenib was the most utilized drug in targeted therapy. Except for one case, the treatment reduced the size of the lesion (16/17 cases), showing promise. Most of the adverse events recorded were mild, such as skin issues, voice changes, abnormal hair texture, dry eyes, and systemic symptoms (e.g., fatigue, joint pain, and nausea). It is possible to reach the conclusion that targeted therapy for ameloblastoma and ameloblastic carcinoma may be a useful treatment strategy, based on the findings of the included studies.

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: ameloblastoma; BRAF; genetic mutation; odontogenic tumor; targeted therapy
Subjects: R Medicine > RK Dentistry
Divisions: Faculty of Dentistry > Department of Oral & Maxillofacial Clinical Sciences
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 13 Jan 2025 01:37
Last Modified: 13 Jan 2025 01:37
URI: http://eprints.um.edu.my/id/eprint/46956

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