Department of Dermatology, Medicana International Ankara Hospital, Ankara, Turkey.
Department of Medical Oncology, Medicana International Ankara Hospital, Ankara, Turkey.
Int J Dermatol. 2022 Dec;61(12):1519-1526. doi: 10.1111/ijd.16361. Epub 2022 Jul 22.
Cutaneous side effects are commonly seen in cancer chemotherapy. As new chemotherapy drugs are developed, the frequency and the diversity of these cutaneous side effects increase. For this reason, identification and management of these side effects are an important part of the treatment of cancer patients. This study aimed to investigate mucocutaneous side effects of conventional chemotherapy and targeted therapy agents that are used in cancer patients.
In this cross-sectional study, 231 cancer patients, who received single or combination chemotherapy at the oncology department of our hospital between 2013 and 2020, were retrospectively reviewed, and mucocutaneous side effects we evaluated.
The ages of the patients varied between 27 and 90 years with a median age of 60 years. Of the patients, 136 (58.9%) were women, and 95 (41.1%) were men. Combination chemotherapy was applied to 174 patients (71.9%). A total of 558 mucocutaneous side effects were present in 231 patients. The most common side effect was alopecia, which was observed in 158 patients (65.6%). This was followed by mucositis (39.4%), hand-foot syndrome (35.3%), papulopustular rash (22%), dermatitis (18.3%), xerosis (14.1%), nail disorders (12%), and others.
Although chemotherapy-induced cutaneous side effects are not usually life-threatening, they may lead to the development of morbidity and discontinuance or termination of the treatment. Therefore, these side effects should be well managed to improve the quality of life of cancer patients.
皮肤不良反应在癌症化疗中很常见。随着新的化疗药物的开发,这些皮肤不良反应的频率和多样性增加。因此,识别和管理这些副作用是癌症患者治疗的重要组成部分。本研究旨在调查癌症患者使用的常规化疗和靶向治疗药物的粘膜皮肤副作用。
在这项回顾性研究中,我们回顾了 2013 年至 2020 年间在我院肿瘤科接受单一或联合化疗的 231 例癌症患者的病历,并评估了粘膜皮肤副作用。
患者年龄在 27 岁至 90 岁之间,中位数为 60 岁。其中 136 例(58.9%)为女性,95 例(41.1%)为男性。174 例患者(71.9%)接受了联合化疗。231 例患者中有 558 例出现粘膜皮肤副作用。最常见的副作用是脱发,有 158 例(65.6%)患者出现这种情况。其次是粘膜炎(39.4%)、手足综合征(35.3%)、丘疹脓疱疹(22%)、皮炎(18.3%)、干燥症(14.1%)、指甲疾病(12%)和其他。
虽然化疗引起的皮肤不良反应通常不会危及生命,但可能导致发病率的发展,并导致治疗中断或终止。因此,应妥善管理这些副作用,以提高癌症患者的生活质量。