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Case Reports
. 2020 Dec;38(4):287-290.
doi: 10.3857/roj.2020.00983. Epub 2020 Dec 28.

Management of grade 3 acute dermatitis with moist desquamation after adjuvant chest wall radiotherapy: a case report

Durim Delishaj  1 , Romerai D'amico  1 , Daniela Corvi  1 , Giuseppe De Nobili  1 , Alessandro Alghisi  1 , Francesco Colangelo  2 , Alessandra Cocchi  1 , Fausto Declich  3 , Carlo Pietro Soatti  1
Affiliations
Case Reports

Management of grade 3 acute dermatitis with moist desquamation after adjuvant chest wall radiotherapy: a case report

Durim Delishaj et al. Radiat Oncol J. 2020 Dec.

Abstract

We reported a successful case management of G3 skin acute dermatitis in a 32-year-old woman affected by locally advanced breast cancer underwent adjuvant chest wall irradiation. Skin acute toxicity with dry desquamation areas was treated daily with dressing medication using physiological solution, oxygen therapy and applying hyaluronic acid gauze. At the end of radiotherapy treatment, G3 skin acute dermatitis with moist desquamation was observed, so the patient continued advanced wound dressing shifted to twice weekly with physiological solution, oxygen therapy and applying hydrocolloid dressing. The patient completed radiotherapy treatment without interruption and one month after treatment acute skin toxicity was resolved with pain relief. We suggest that advanced dressing with trained nursing staff is essential in this sub-set of patients due to guaranteed continuation of radiotherapy treatment, indispensable to ensure patient cure.

Keywords: Breast cancer; Dermatitis; Moist desquamation; Radiotherapy; Toxicity; Wound dressing.

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Conflict of interest statement

Conflict of Interest

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1.
Fig. 1.
Radiotherapy treatment planning using brachytherapy technique (A) and external beam radiation therapy technique (B).
Fig. 2.
Fig. 2.
Skin acute dermatitis (grade 3) during radiotherapy treatment (A) and resolution with advanced nursing dressing one month after treatment (B).
See this image and copyright information in PMC

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