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Published on: August 31, 2022
Cutaneous complications of molecular targeted therapy used in oncology
I Lupu1, N Voiculescu2, N Bacalbasa3
1Department of Dermatology, "Elias" University Hospital, Bucharest, Romania.
Abstract:
The new molecular targeted therapy has been developed over the past decades by using the molecular targeted molecular changes discovered in specific types of cancer. Unfortunately, most of these agents (epidermal growth factor receptors, multi-targeted small molecule tyrosine kinase inhibitors, monoclonal antibodies) have severe cutaneous adverse reactions, that not only interfere with the patient's quality of life, but also are dose-limiting and may require treatment interruptions. These cutaneous complications and their management must be very well known by any oncologist and dermatologist who treat oncologic patients.
Abbreviations:
EGFR = epidermal growth factor receptors, EGFRI = epidermal growth factor receptors inhibitors.
Insights
Molecular targeted therapies for cancer can cause severe skin side effects. Understanding and managing these cutaneous adverse reactions is crucial for oncologists and dermatologists to maintain patient quality of life and treatment continuity.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- Molecular targeted therapies have advanced cancer treatment over recent decades.
- These therapies target specific molecular changes in cancer cells.
- Common agents include epidermal growth factor receptors (EGFR) inhibitors, multi-targeted tyrosine kinase inhibitors, and monoclonal antibodies.
Purpose of the Study:
- To highlight the significant cutaneous adverse reactions associated with molecular targeted cancer therapies.
- To emphasize the impact of these skin toxicities on patient quality of life and treatment adherence.
- To underscore the necessity for oncologists and dermatologists to be proficient in managing these side effects.
Main Methods:
- Review of adverse event profiles for common molecular targeted therapies.
- Analysis of the clinical impact of cutaneous complications.
- Synthesis of current knowledge on managing treatment-related skin toxicities.
Main Results:
- Molecular targeted therapies frequently cause severe skin adverse reactions.
- These reactions can be dose-limiting, leading to treatment interruptions.
- Adverse cutaneous events significantly affect patient quality of life.
Conclusions:
- Effective management of skin toxicities is essential for successful molecular targeted therapy.
- Oncologists and dermatologists require specialized knowledge to address these dermatologic complications.
- Proactive management strategies are key to optimizing patient outcomes and treatment adherence.
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