Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, China.
Department of Radiation and Medical Oncology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Medicine (Baltimore). 2023 May 19;102(20):e33830. doi: 10.1097/MD.0000000000033830.
Tumor treating fields (TTFields) is a novel approved modality for the treatment of glioblastoma (GBM) exhibiting a satisfactory effect. Although TTFields has shown considerable safety for the normal brain, dermatological adverse events (DAEs) often occur during therapy. However, studies focused on the identification and management of DAEs are rare. The clinical data and photos of skin lesions from 9 patients with GBM were retrospectively analyzed, and the types and grades of individual scalp dermatitis were evaluated based on the Common Terminology Criteria for Adverse Events version 5.0 (CTCAE v 5.0). Adherence and safety were also evaluated on the basis of the device monitoring data. Eight patients (88.9%) exhibited grade 1 or grade 2 CTCAE DAEs, all of whom were cured after interventions. The adherence was >90%, with no relevant safety events reported. Finally, a guideline for preventing DAEs in patients with GBM was proposed. The identification and management of TTFields-related DAEs is necessary and urgent in patients with GBM. Timely interventions of DAEs will help to improve the adherence and quality of life of patients, which ultimately improves prognosis. The proposed guideline for preventing DAEs in patients with GBM assists in the management of healthcare providers and may avoid dermatologic complications.
肿瘤治疗电场(TTFields)是一种治疗胶质母细胞瘤(GBM)的新型有效方法。尽管 TTFields 对正常大脑具有相当的安全性,但在治疗过程中经常会出现皮肤不良事件(DAE)。然而,目前针对 DAE 的识别和管理的研究很少。本研究回顾性分析了 9 例 GBM 患者的临床资料和皮损照片,并根据不良事件通用术语标准 5.0 版(CTCAE v5.0)评估了个体头皮皮炎的类型和分级。还根据设备监测数据评估了依从性和安全性。8 例(88.9%)患者出现了 1 级或 2 级 CTCAE DAE,所有患者经干预后均治愈。依从性>90%,未报告相关安全事件。最后,提出了 GBM 患者预防 DAE 的指南。识别和管理 GBM 患者的 TTFields 相关 DAE 是必要且紧迫的。及时干预 DAE 将有助于提高患者的依从性和生活质量,从而改善预后。该 GBM 患者 DAE 预防指南有助于管理医疗保健提供者,并可避免皮肤并发症。
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