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Dynamic Imaging of Chimeric Antigen Receptor T Cells with [18F]Tetrafluoroborate Positron Emission Tomography/Computed Tomography
Published on: February 17, 2022
Cutaneous Reactions to Targeted Therapy
Jonathan J Lee1, Daniela Kroshinsky, Mai P Hoang
1*Dermatology Resident, University of Pittsburg Medical Center, Pittsburg, PA; Associate Professor, Departments of †Pathology, and ‡Dermatology, Massachusetts General Hospital, Boston, MA; and §Associate Professor, Harvard Medical School, Boston, MA.
Abstract:
Over the past decade, numerous targeted therapeutic agents have become available for clinical use in the oncologic setting with the hopes of realizing personalized cancer treatment. These agents have achieved great improvements in clinical outcomes for patients suffering from solid and hematologic malignancies. However, adverse cutaneous reactions are among the most common toxicities observed in patients undergoing treatment with a targeted agent and can alter the overall clinical management strategy. For these reasons, the practicing dermatopathologist should be mindful of the breadth and depth of adverse cutaneous reaction patterns associated with this mechanistically diverse array of targeted agents.
Insights
Targeted cancer therapies improve outcomes but frequently cause skin reactions. Dermatopathologists must recognize these diverse adverse cutaneous reactions to manage patient care effectively.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- Targeted therapeutic agents have revolutionized cancer treatment, improving outcomes for solid and hematologic malignancies.
- Adverse cutaneous reactions are common toxicities associated with these targeted agents.
- Understanding these skin reactions is crucial for effective clinical management.
Purpose of the Study:
- To highlight the importance of recognizing diverse adverse cutaneous reactions.
- To inform dermatopathologists about the spectrum of skin toxicities from targeted cancer therapies.
- To emphasize the need for awareness of mechanistically diverse targeted agents.
Main Methods:
- Review of clinical data and literature on targeted cancer therapies.
- Analysis of common and uncommon adverse cutaneous reaction patterns.
- Correlation of specific agents with observed dermatologic toxicities.
Main Results:
- Targeted agents, while beneficial, frequently induce a wide range of skin side effects.
- These cutaneous reactions can significantly impact treatment plans and patient quality of life.
- Recognizing specific patterns aids in diagnosis and management.
Conclusions:
- Adverse cutaneous reactions are a significant clinical challenge in targeted cancer therapy.
- Dermatopathologists play a key role in identifying and managing these toxicities.
- Awareness of the diverse mechanisms of targeted agents is essential for dermatopathologists.
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