Radiation recall dermatitis occurring 6 years and 4 months after breast-conserving surgery: A case report

Currently in Japan, breast-conserving therapy, consisting of breast-conserving surgery and post-operative radiation therapy, is performed frequently for the treatment of invasive breast cancer. It has been demonstrated that radiation therapy not only prevents recurrence in the preserved breast, but...

Full description

Saved in:
Bibliographic Details
Published in:Oncology letters 2016-05, Vol.11 (5), p.3071-3074
Main Authors: UBUKATA, MAMIKO, KAMIO, TAKAKO, OHCHI, TETSUYA, NOGUCHI, EIICHIRO, TSUKADA, HIROKO, KAMEOKA, SHINGO
Format: Article
Language:English
Subjects:
Antibiotics
Antigens
Biopsy
Breast
Breast cancer
breast-conserving surgery
Breasts
Cancer therapies
Care and treatment
Case reports
Dermatitis
Development and progression
Drug dosages
Growth factors
Inflammation
Lymphatic system
Mastectomy
Oncology
Pathology
radiation recall dermatitis
Radiation therapy
Skin
Surgery
tamoxifen
tamoxifen-induced radiation recall dermatitis
Tumors
Ultrasonic imaging
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Currently in Japan, breast-conserving therapy, consisting of breast-conserving surgery and post-operative radiation therapy, is performed frequently for the treatment of invasive breast cancer. It has been demonstrated that radiation therapy not only prevents recurrence in the preserved breast, but that it also contributes to improved patient survival. The present study describes the case of a 37-year-old woman with radiation recall dermatitis that occurred 6 years and 4 months after breast-conserving surgery. Erythema with a relatively distinct border was observed at the irradiated site on the left breast; eczema was diagnosed by a dermatologist. Inflammatory breast cancer was ruled out, since chest X-ray, abdominal ultrasound and bone scintigraphy were negative. Following ~1 month of topical corticosteroid application and oral second generation antihistamine treatment, the erythema was alleviated and the subjective symptoms also disappeared. Only a few cases of radiation recall dermatitis have been described in the fields of radiology and dermatology, but not yet in the surgical field. In the future, the incidence of radiation recall dermatitis is predicted to increase due to the increasing number of patients undergoing breast-conserving therapy. Whether in the surgical, radiological or dermatological field, if erythema is detected at the irradiated site during post-operative follow-up, routine care should be provided, keeping in mind the possibility of radiation recall dermatitis and inflammatory breast cancer.
ISSN:1792-1074
1792-1082
DOI:10.3892/ol.2016.4346