放射治疗相关性皮肤病

Radiotherapy-related skin diseases

放射治疗作为一种有效的治疗肿瘤及其他多种疾病的手段已广泛应用于临床,其中约有95%的患者出现程度不等的皮肤损害,包括急慢性放射性皮炎,或出现放疗相关的皮肤病如皮肤纤维化、硬斑病、硬化性脂膜炎、大疱性皮肤病、嗜酸性多形性瘙痒性皮疹、硬化萎缩性苔藓、血管肉瘤、非典型性血管病变、放射记忆性皮炎等。此类皮肤损害严重影响了患者的生活质量及治疗依从性。本文将对放疗引起的常见和少见皮肤病作一简要综述,以提高临床医生对放疗相关皮肤病的认识。

As an effective treatment method of tumors and other diseases,radiotherapy has been widely applied to clinical practices.After radiotherapy,about 95%of patients suffer from skin injuries to different extents,including acute and/or chronic radiodermatitis,or radiotherapy-related skin diseases,including cutaneous fibrosis,morphea,sclerosing panniculitis,bullous skin diseases,eosinophilic polymorphic and pruritic eruption,lichen sclerosus et atrophicus,angiosarcoma,atypical vascular lesions and radiation recall dermatitis.These skin injuries greatly affect the quality of life and treatment compliance of patients.This review briefly summarizes common and rare skin diseases induced by radiotherapy,so as to improve the understanding of radiotherapy-related skin diseases in clinicians.