Rodarte Camila Martins, Abdallah Omar Ali, Barbosa Nadyesda Fagundes, Koch Ludmila de Oliveira, Resende Uirá Maira
Clínica Médica, Hospital Geral de Goiânia, GO, Brasil.
An Bras Dermatol. 2009 Nov-Dec;84(6):667-70. doi: 10.1590/s0365-05962009000600015.
An increase in the expression of epidermal growth factor receptors (EGFR) is involved in the stimulation of tumor development. EGFR inhibitors have shown efficacy in the treatment of neoplasms of the head, neck, colon and lung. EGFR when inhibited can cause cutaneous reactions in more than 50% of the patients. They are usually reversible, but when severe, limit the use of the drug. Papulopustulars lesions in the face and upper torso are the most common, as well as xerosis, hair and nail changes. There is a direct relationship between the degree of cutaneous toxicity and the antitumoral response. An adequate dermatologic approach is necessary for an effective therapy against cancer.
表皮生长因子受体(EGFR)表达增加参与肿瘤发展的刺激过程。EGFR抑制剂已显示出对头颈部、结肠和肺部肿瘤治疗的有效性。EGFR被抑制时,超过50%的患者会出现皮肤反应。这些反应通常是可逆的,但严重时会限制药物的使用。面部和上半身的丘疹脓疱性病变最为常见,还有皮肤干燥、毛发和指甲变化。皮肤毒性程度与抗肿瘤反应之间存在直接关系。有效的癌症治疗需要适当的皮肤科治疗方法。