Skin problems and EGFR-tyrosine kinase inhibitor
1Department of Thoracic Oncology and Medicine, National Hospital Organization Shikoku Cancer Center, Ehime, Japan tokozuki@shikoku-cc.go.jp.
Abstract:
Epidermal growth factor receptor inhibition is a good target for the treatment of lung, colon, pancreatic and head and neck cancers. Epidermal growth factor receptor-tyrosine kinase inhibitor was first approved for the treatment of advanced lung cancer in 2002. Epidermal growth factor receptor-tyrosine kinase inhibitor plays an essential role in the treatment of cancer, especially for patients harbouring epidermal growth factor receptor activating mutation. Hence, skin toxicity is the most concerning issue for the epidermal growth factor receptor-tyrosine kinase inhibitor treatment. Skin toxicity is bothersome and sometimes affects the quality of life and treatment compliance. Thus, it is important for physicians to understand the background and how to manage epidermal growth factor receptor-tyrosine kinase inhibitor-associated skin toxicity. Here, the author reviewed the mechanism and upfront preventive and reactive treatments for epidermal growth factor receptor inhibitor-associated skin toxicities.
Insights
Epidermal growth factor receptor (EGFR) inhibitors treat various cancers but often cause skin toxicity. This review covers EGFR inhibitor mechanisms and management strategies for associated skin toxicities.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- Epidermal growth factor receptor (EGFR) inhibitors are crucial in treating lung, colon, pancreatic, and head and neck cancers.
- EGFR-tyrosine kinase inhibitors (TKIs) were first approved for advanced lung cancer in 2002.
- EGFR inhibitors are particularly vital for patients with EGFR-activating mutations.
Purpose of the Study:
- To review the mechanisms of EGFR inhibitor-associated skin toxicities.
- To outline upfront preventive strategies for skin toxicities.
- To discuss reactive treatment options for managing EGFR inhibitor-induced skin adverse events.
Main Methods:
- Literature review of EGFR inhibitor mechanisms.
- Analysis of clinical data on skin toxicity management.
- Synthesis of information on preventive and reactive treatments.
Main Results:
- Skin toxicity is a significant and common side effect of EGFR inhibitor therapy.
- Understanding the mechanism of toxicity is key to effective management.
- A combination of preventive and reactive strategies can mitigate skin toxicity.
Conclusions:
- EGFR inhibitors are effective cancer treatments, but skin toxicity can impact patient quality of life and treatment adherence.
- Physicians need a thorough understanding of EGFR inhibitor-associated skin toxicities.
- Effective management strategies are available to address these dermatological side effects.
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