Kanser Tedavilerine Bağlı Cilt Toksisitesi
Özet
Kanser tedavisi görmekte olan hastaların yaklaşık %65’i, tedavinin ilk 3 ayı içinde dermatolojik bir yan etkiyle karşı karşıya kalmaktadır. Bu yan etkiler, uygulanan sistemik tedaviye (kemoterapi, immunoterapi ve/veya hedefe yönelik tedavi) ve lokal tedaviye (radyoterapi) göre farklılık gösterebilir. Sık karşılaşılan dermatolojik yan etkiler arasında hipersensitivite reaksiyonları, fotosensitivite, ilaç ekstravazasyonu, palmar-plantar eritrodizestezi, morbiliform ilaç erüpsiyonları, alopesi, tırnak değişiklikleri, mukozit, cilt kuruluğu ve kaşıntı sayılabilir. Tedavi önerileri ve takiplerde yapılması gerekenler, dermatolojik yan etkilere yol açan etken maddelere ve bu yan etkilerin derecelerine göre farklılık göstermektedir.
Approximately 65% of patients receiving cancer treatment experience at least one dermatological side effect within the first three months of therapy. These side effects vary depending on the systemic treatment (chemotherapy, immunotherapy, and/or targeted therapy) and local treatment (radiotherapy) administered. Common dermatological side effects include hypersensitivity reactions, photosensitivity, drug extravasation, palmar-plantar erythrodysesthesia, morbiliform drug eruptions, alopecia, nail changes, mucositis, dry skin, and pruritus. Recommendations for treatment and follow-up strategies differ based on the causative agents and the severity of these dermatological side effects.
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