Grade IV Radiation Skin Injury on the Neck of a Patient with Tonsillar Carcinoma: A Case Report.

IF 1.7 4区医学 Q3 DERMATOLOGY

Advances in Skin & Wound Care Pub Date : 2024-07-01 DOI:10.1097/ASW.0000000000000173

Li Zhang, Sicong Liu

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Abstract

Abstract: Radiation therapy is often accompanied by skin toxicity in the irradiated area and radiation-induced DNA damage to skin tissue cells in the surrounding pigmented area. This case report describes a patient with radiation-induced skin injury who received wound treatment and psychological intervention with satisfactory results. A 60-year-old woman was admitted to the authors' hospital on January 18, 2021, with radiation-induced skin injury caused by carbon ion radiotherapy for tonsillar carcinoma. The patient underwent wound repair combined with psychological intervention (30 minutes per dressing change). Over a period of 1 month, the wound area was reduced from 11 × 12 cm2 to 1 × 1 cm2, and wound symptoms (exudate, blood odor, wound infection, wound edge dehydration and curling, periwound skin peeling, dryness, and hyperkeratosis) improved. The patient's anxiety factor scores decreased from 18 to 1, and her depression factor scores decreased from 16 to 3. When the patient was discharged from the hospital after 1 month of treatment, she had a satisfactory self-image and normal social activities.

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扁桃体癌患者颈部的 IV 级放射皮肤损伤：病例报告。

摘要：放射治疗常常伴随着照射区皮肤中毒和周围色素区皮肤组织细胞因辐射引起的 DNA 损伤。本病例报告描述了一名接受伤口处理和心理干预并取得满意疗效的放射线诱发皮肤损伤患者。作者所在医院于 2021 年 1 月 18 日收治了一名因扁桃体癌接受碳离子放疗而导致放射性皮肤损伤的 60 岁女性患者。患者接受了伤口修复和心理干预（每次换药 30 分钟）。1 个月后，伤口面积从 11 × 12 平方厘米缩小到 1 × 1 平方厘米，伤口症状（渗出、血腥味、伤口感染、伤口边缘脱水和卷曲、伤口周围皮肤脱皮、干燥和角化过度）得到改善。患者的焦虑因子评分从 18 分降至 1 分，抑郁因子评分从 16 分降至 3 分。治疗 1 个月后出院时，患者的自我形象令人满意，社交活动正常。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Skin & Wound Care DERMATOLOGY-NURSING

CiteScore

2.50

自引率

12.50%

发文量

271

审稿时长

>12 weeks

期刊介绍： A peer-reviewed, multidisciplinary journal, Advances in Skin & Wound Care is highly regarded for its unique balance of cutting-edge original research and practical clinical management articles on wounds and other problems of skin integrity. Each issue features CME/CE for physicians and nurses, the first journal in the field to regularly offer continuing education for both disciplines.