Kalmykow Brianna, Walker Suzanne
Prostate Cancer Care Center, Beth Israel Deaconess Medical Center, Boston, MA, USA. kalmykow@gmail
Clin J Oncol Nurs. 2011 Feb;15(1):99-101. doi: 10.1188/11.CJON.99-101.
Cutaneous metastases occur more often in breast cancer than in other diseases in women. Presentation often is ambiguous because the metastases can mimic other common processes (e.g., cellulitis, lymphedema). Accurate differential diagnosis identifies less obvious manifestations of progressive disease and allows for appropriate management. Although interventions are aimed at halting disease progression, cutaneous metastases indicate an incurable diagnosis. Treatment focuses on delaying progressive disease, controlling symptoms, and maintaining quality of life. The care of skin metastases evolves as the tumor spreads and more tissue destruction occurs. Skin management and topical interventions increase comfort, decrease distress, and create feelings of control in this population.
皮肤转移在女性乳腺癌中比在其他疾病中更常见。其表现往往不明确，因为转移灶可能类似其他常见病症（如蜂窝织炎、淋巴水肿）。准确的鉴别诊断可识别出进展性疾病较隐匿的表现，并有助于进行适当的处理。尽管干预措施旨在阻止疾病进展，但皮肤转移表明已确诊为不治之症。治疗的重点是延缓疾病进展、控制症状并维持生活质量。随着肿瘤扩散和更多组织破坏的发生，皮肤转移灶的护理也在不断变化。皮肤管理和局部干预可提高舒适度、减轻痛苦，并让这一群体产生掌控感。
