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Latin America Cutaneous Oncology Management (LACOM) II: A Practical Algorithm for Managing Skin Toxicities in
Journal of Drugs in Dermatology : JDD
|July 6, 2026
Summary
Managing skin issues during cancer therapy is crucial. The LACOM II algorithm offers a skincare guide for clinicians to prevent and treat cutaneous adverse events (cAEs), improving patient quality of life.
Area of Science:
- Oncology
- Dermatology
- Patient Care
Background:
- Anticancer treatments frequently cause cutaneous adverse events (cAEs).
- These skin toxicities significantly impair patient quality of life (QoL) and can disrupt treatment.
- Effective management of cAEs is vital for optimizing patient outcomes.
Purpose of the Study:
- To introduce the LACOM II algorithm for preventing and managing cancer treatment-related cAEs.
- To provide clinicians with evidence-based recommendations for patient care.
- To enhance patient QoL by addressing dermatological side effects of cancer therapy.
Main Methods:
- A multidisciplinary panel of experts (dermatologists, clinical oncologists, radiation oncologists) developed the algorithm.
- The algorithm is evidence-based, incorporating skincare regimens (hygiene, moisturization, sun protection, camouflage).
- It includes guidelines for patient education, triage, and treatment of emerging cAEs.
Main Results:
- The LACOM II algorithm emphasizes proactive patient education prior to treatment.
- It details appropriate skincare practices and timely triage of skin reactions.
- The importance of a multidisciplinary team approach for managing cAEs is highlighted.
Conclusions:
- Integrating proactive education, proper skincare, and timely management is essential for optimal cancer patient care.
- The LACOM II algorithm offers best-practice recommendations for clinicians throughout the cancer care continuum.
- Implementing these strategies can lead to improved patient outcomes and enhanced QoL for individuals undergoing cancer treatment.
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