How to manage radiation-induced dermatitis?
Dorota Kiprian, Agata Szykut-Badaczewska, Agnieszka Gradzińska, Joanna Czuwara, Lidia Rudnicka
Abstract
Radiotherapy is one of the treatment methods available for cancer patients. More than half of all cancer patients treated with radiotherapy will experience radiodermatitis during their treatment. There are two commonly used scales to evaluate clinical manifestations: Common Terminology Criteria for Adverse Events (CTCAE) and the Radiation Therapy Oncology Group (RTOG) scale. According to them, the severity of radiation dermatitis ranges from mild erythema to moist desquamation and ulceration. Prevention methods for radiation dermatitis include proper skin hygiene, the use of topical corticosteroids, other non-corticosteroid agents and systemic drugs. Treatment of radiation dermatitis is guided by the severity of skin damage. In grade 1 it can be limited to moisturising the irritated skin field but in more severe reactions (grade 2–4) the use of dressing is essential. There is still a need to investigate new products, techniques or novel approaches to minimize, prevent or treat radiation dermatitis in patients undergoing radiotherapy.