Ramseier Julie Y, Ferreira Michelle N, Leventhal Jonathan S
Department of Dermatology, Yale School of Medicine, New Haven, CT, United States.
Int J Womens Dermatol. 2020 Sep 30;6(5):349-356. doi: 10.1016/j.ijwd.2020.07.015. eCollection 2020 Dec.
Breast-conserving surgery with adjuvant radiation therapy has become the standard of care for women with early stage breast cancer, and as a result, a large number of patients are affected by the cutaneous sequelae of radiation therapy. These dermatologic toxicities may present during treatment or years later and can significantly impact patients' quality of life. In this review, we discuss the clinical presentation, prevention, and management of radiation-induced cutaneous toxicities in women with breast cancer, including radiation dermatitis, radiation recall, radiation-induced morphea, radiation-induced fibrosis, and cutaneous malignancies in irradiated skin.
保乳手术联合辅助放疗已成为早期乳腺癌女性的标准治疗方法,因此,大量患者受到放疗皮肤后遗症的影响。这些皮肤毒性可能在治疗期间或数年后出现,并会显著影响患者的生活质量。在本综述中,我们讨论了乳腺癌女性放疗引起的皮肤毒性的临床表现、预防和管理,包括放射性皮炎、放射记忆反应、放射性硬斑病、放射性纤维化以及放疗皮肤中的皮肤恶性肿瘤。