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Management of Patients under Radiotherapy: skin toxicities
By Mario Lacouture, recorded at TAO (Transatlantic Oncology meeting), Nov 20-21, 2014, Paris
Targeting of the cancer is accompanied by targeting of the skin, as almost every single cell in the epidermis and the dermis is affected by radiation. The resulting acute and chronic dermatologic toxicities can have a psychosocial impact if they affect areas of the body that are exposed to other people, constitute a financial burden as patients have to pay for the management of their toxicities, affect physical health because they can be very painful and lead to life-threatening or life-altering infections, and – most importantly – require treatment disruption. Mario Lacouture reviews early (e.g. erythema, moist desquamation, ulceration) and late adverse events (e.g. fibrosis, telangiectasia, xeroderma) as well as management strategies to prevent radiation dermatitis. With regard to skin care, an early and proactive approach towards adverse events is advisable.
Mario Lacouture, Memorial Sloan-Kettering Center, New York, USA