Risk factors of dermatitis during radiation for vulvar carcinoma

Abstract Radiodermatitis, inflammatory lesions of skin and mucosa caused by radiation, is a common adverse effect during the radiation therapy of vulvar carcinoma. The incidence of radiodermatitis is affected by various factors, and the purpose of this study was to investigate the risk factors of ra...

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Main Authors: Xue Teng, Xian Zhang, Xiaoxu Zhi, Yan Chen, Dejing Xu, Aifeng Meng, Ying Zhu
Format: Article
Language:English
Published: Wiley 2022-09-01
Series:Precision Medical Sciences
Subjects:
Online Access:https://doi.org/10.1002/prm2.12077
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author Xue Teng
Xian Zhang
Xiaoxu Zhi
Yan Chen
Dejing Xu
Aifeng Meng
Ying Zhu
author_facet Xue Teng
Xian Zhang
Xiaoxu Zhi
Yan Chen
Dejing Xu
Aifeng Meng
Ying Zhu
author_sort Xue Teng
collection DOAJ
description Abstract Radiodermatitis, inflammatory lesions of skin and mucosa caused by radiation, is a common adverse effect during the radiation therapy of vulvar carcinoma. The incidence of radiodermatitis is affected by various factors, and the purpose of this study was to investigate the risk factors of radiodermatitis in patients with vulvar carcinoma. Patients with vulvar tumors who received radiotherapy from January 2015 to December 2020 were included in this retrospective study. Radiodermatitis was graded according to the grading criteria of the American Center for Radiological Oncology, and then univariate analysis and logistic multivariate regression analysis were used to determine the risk factors of radiodermatitis. A total of 60 eligible patients were enrolled, including 3 (5%), 25 (41.7%), 28 (46.7%), and 4 (6.6%) patients with grade 0, 1, 2, and 3 radiodermatitis, respectively. Univariate analysis showed that the incidence of radiodermatitis was significantly correlated with age, therapeutic strategy, pathological stage and radiotherapy dose (p < .05). Multivariate regression analysis indicated that age, therapeutic strategy and radiotherapy dose were independent risk factors for radiodermatitis (p < .05). In the current study, we identified the independent risk factors for radiodermatitis in patients with vulvar carcinoma were age, therapeutic strategy and radiotherapy dose, which might be conducive to identify high‐risk patients, so as to adjust their treatment plan in time and reduce the risk of radiation‐induced skin toxicity.
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spelling doaj.art-4855f35246b346c2b346fb9d89a519312022-12-22T04:03:41ZengWileyPrecision Medical Sciences2642-25142022-09-0111310611010.1002/prm2.12077Risk factors of dermatitis during radiation for vulvar carcinomaXue Teng0Xian Zhang1Xiaoxu Zhi2Yan Chen3Dejing Xu4Aifeng Meng5Ying Zhu6Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research & The Affiliated Cancer Hospital of Nanjing Medical University Nanjing ChinaDepartment of Radiation Oncology The Affiliated Hospital of Xuzhou Medical University Xuzhou ChinaJiangsu Cancer Hospital & Jiangsu Institute of Cancer Research & The Affiliated Cancer Hospital of Nanjing Medical University Nanjing ChinaJiangsu Cancer Hospital & Jiangsu Institute of Cancer Research & The Affiliated Cancer Hospital of Nanjing Medical University Nanjing ChinaJiangsu Cancer Hospital & Jiangsu Institute of Cancer Research & The Affiliated Cancer Hospital of Nanjing Medical University Nanjing ChinaJiangsu Cancer Hospital & Jiangsu Institute of Cancer Research & The Affiliated Cancer Hospital of Nanjing Medical University Nanjing ChinaJiangsu Cancer Hospital & Jiangsu Institute of Cancer Research & The Affiliated Cancer Hospital of Nanjing Medical University Nanjing ChinaAbstract Radiodermatitis, inflammatory lesions of skin and mucosa caused by radiation, is a common adverse effect during the radiation therapy of vulvar carcinoma. The incidence of radiodermatitis is affected by various factors, and the purpose of this study was to investigate the risk factors of radiodermatitis in patients with vulvar carcinoma. Patients with vulvar tumors who received radiotherapy from January 2015 to December 2020 were included in this retrospective study. Radiodermatitis was graded according to the grading criteria of the American Center for Radiological Oncology, and then univariate analysis and logistic multivariate regression analysis were used to determine the risk factors of radiodermatitis. A total of 60 eligible patients were enrolled, including 3 (5%), 25 (41.7%), 28 (46.7%), and 4 (6.6%) patients with grade 0, 1, 2, and 3 radiodermatitis, respectively. Univariate analysis showed that the incidence of radiodermatitis was significantly correlated with age, therapeutic strategy, pathological stage and radiotherapy dose (p < .05). Multivariate regression analysis indicated that age, therapeutic strategy and radiotherapy dose were independent risk factors for radiodermatitis (p < .05). In the current study, we identified the independent risk factors for radiodermatitis in patients with vulvar carcinoma were age, therapeutic strategy and radiotherapy dose, which might be conducive to identify high‐risk patients, so as to adjust their treatment plan in time and reduce the risk of radiation‐induced skin toxicity.https://doi.org/10.1002/prm2.12077radiodermatitisrisk factorsvulvar carcinoma
spellingShingle Xue Teng
Xian Zhang
Xiaoxu Zhi
Yan Chen
Dejing Xu
Aifeng Meng
Ying Zhu
Risk factors of dermatitis during radiation for vulvar carcinoma
Precision Medical Sciences
radiodermatitis
risk factors
vulvar carcinoma
title Risk factors of dermatitis during radiation for vulvar carcinoma
title_full Risk factors of dermatitis during radiation for vulvar carcinoma
title_fullStr Risk factors of dermatitis during radiation for vulvar carcinoma
title_full_unstemmed Risk factors of dermatitis during radiation for vulvar carcinoma
title_short Risk factors of dermatitis during radiation for vulvar carcinoma
title_sort risk factors of dermatitis during radiation for vulvar carcinoma
topic radiodermatitis
risk factors
vulvar carcinoma
url https://doi.org/10.1002/prm2.12077
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