Oprea Yasmine, Deutsch Alana, McLellan Beth, Markova Alina
Division of Dermatology, Department of Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York.
Department of Dermatology, Yale School of Medicine, New Haven, Connecticut.
J Am Acad Dermatol. 2025 Jun;92(6):1351-1359. doi: 10.1016/j.jaad.2025.02.021. Epub 2025 Feb 13.
Dermatologists play a critical role in interdisciplinary cancer care, and as the field of supportive oncodermatology has evolved, a new subdivision has emerged: palliative oncodermatology. In cancer patients awaiting definitive treatment, those unable to undergo surgery or other invasive interventions, and those in the terminal stages of their illness, there is a need for symptom-based, noncurative strategies that address symptoms of cutaneous malignancies as well as cutaneous complications of systemic malignancies. The integration of palliative care principles in the management of such cutaneous complications strives to alleviate suffering and enhance quality of life. Here, we review the complications associated with cutaneous malignancies and metastases, along with skin symptoms of systemic malignancies. We also explore treatment options that emphasize symptom relief and comfort, highlighting the role of dermatologists in managing these challenges and coordinating supportive care in palliative settings.
皮肤科医生在跨学科癌症护理中发挥着关键作用，随着支持性肿瘤皮肤病学领域的发展，一个新的细分领域出现了：姑息性肿瘤皮肤病学。在等待确定性治疗的癌症患者、无法接受手术或其他侵入性干预的患者以及处于疾病终末期的患者中，需要基于症状的非治愈性策略来解决皮肤恶性肿瘤的症状以及全身恶性肿瘤的皮肤并发症。将姑息治疗原则整合到此类皮肤并发症的管理中，旨在减轻痛苦并提高生活质量。在此，我们回顾与皮肤恶性肿瘤和转移相关的并发症，以及全身恶性肿瘤的皮肤症状。我们还探讨强调症状缓解和舒适度的治疗选择，突出皮肤科医生在应对这些挑战以及在姑息治疗环境中协调支持性护理方面的作用。
