Tayyib Nahla A
Faculty of Nursing, Umm Al-Qura University, Makkah, SAU.
Cureus. 2023 Jul 20;15(7):e42186. doi: 10.7759/cureus.42186. eCollection 2023 Jul.
Cancer patients had limited treatment options for decades, such as surgery, chemotherapy, and radiation therapy, alone or combined. However, there have been substantial improvements in recent years with the introduction of stem cell therapy, hormone therapy, anti-angiogenic treatments, immunotherapy, dendritic cell-based targeted therapy, ablation therapy, nanoparticles, natural antioxidants, radionics, chemodynamic therapy, sonodynamic therapy, and ferroptosis-based therapy. Radiation therapy, or radiotherapy, is a cancer treatment that employs high doses of radiation to eliminate cancer cells and shrink tumors. This treatment is effective as a primary, adjuvant, or palliative therapy. It is an essential, efficient, cost-effective intervention crucial for providing proper palliative oncology care. Although cancer treatment modalities such as intensity-modulated radiotherapy have advanced, they still risk harming the skin and surrounding healthy tissue. Radiotherapy may induce clinical toxicity leading to chronic or acute radiation dermatitis, depending on the toxicity caused by the therapy. Radiation dermatitis, whether in its chronic or acute form, can cause skin shedding that may result in the formation of wounds. Such shedding can also lead to non-healing ulcers and radionecrosis. Mepitel® film helps control radiation-induced moist desquamation in cancer patients. Clinical trials on the prophylactic use of Mepitel film on radiation-induced moist desquamation did not show similarities among patients from various countries; however, the film-based method is more beneficial than other methods. This review examines the various types of dressings utilized in managing radiation-induced dermatitis to enhance wound healing effectiveness while avoiding harm to newly developing tissues. Additionally, this review compares the effectiveness of using Mepitel film for treating radiation-induced moist desquamation to other methods.
几十年来,癌症患者的治疗选择有限,例如单独或联合使用手术、化疗和放疗。然而,近年来随着干细胞疗法、激素疗法、抗血管生成疗法、免疫疗法、基于树突状细胞的靶向疗法、消融疗法、纳米颗粒、天然抗氧化剂、放射疗法、化学动力疗法、声动力疗法和基于铁死亡的疗法的引入,情况有了显著改善。放射治疗,即放疗,是一种癌症治疗方法,它使用高剂量辐射来消除癌细胞并缩小肿瘤。这种治疗作为主要、辅助或姑息治疗都是有效的。它是提供适当姑息肿瘤护理至关重要的、高效且具有成本效益的干预措施。尽管诸如调强放疗等癌症治疗方式已经取得进展,但它们仍有损害皮肤和周围健康组织的风险。放疗可能会导致临床毒性,根据治疗引起的毒性不同,会导致慢性或急性放射性皮炎。放射性皮炎,无论是慢性还是急性形式,都可能导致皮肤脱落,进而可能形成伤口。这种脱落还可能导致不愈合的溃疡和放射性坏死。美皮贴薄膜有助于控制癌症患者放疗引起的湿性脱屑。关于美皮贴薄膜预防性用于放疗引起的湿性脱屑的临床试验并未显示不同国家患者之间存在相似之处;然而,基于薄膜的方法比其他方法更有益。本综述探讨了用于管理放射性皮炎的各种敷料类型,以提高伤口愈合效果,同时避免对新生长组织造成伤害。此外,本综述还比较了使用美皮贴薄膜治疗放疗引起湿性脱屑与其他方法的有效性。