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KMID : 0614620160670020112
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Korean Journal of Gastroenterology
2016 Volume.67 No. 2 p.112 ~ p.115
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Fluoroscopy-induced Subacute Radiation Dermatitis in Patient with Hepatocellular Carcinoma
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김보혜:Kim Bo-Hye
김희경:Kim Hee-Kyung/신재경:Shin Jae-Kyung/홍희진:Hong Hee-Jin/이주호:Lee Joo-Ho/박하나:Park Ha-Na/황성규:Hwang Seong-Gyu/임규성:Rim Kyu-Sung
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Abstract
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Radiation dermatitis can develop after fluoroscopy-guided interventional procedures. Cases of fluoroscopy-induced radiation dermatitis have been reported since 1996, mostly documented in the fields of radiology, cardiology and dermatology. Since diagnosis and treatment of fluoroscopy-induced radiation dermatitis can be difficult, high grade of suspicion is required. The extent of this reaction is determined by radiation dose, duration of exposure, type of procedure, and host factors and can be aggravated by concomitant use of photosensitizers. Follow-up is important after long and complicated procedures and efforts to minimize radiation exposure time will be necessary to prevent radiation dermatitis. Herein, we report a case of a 58-year-old man with hepatocellular carcinoma presenting with subacute radiation dermatitis after prolonged fluoroscopic exposure during transarterial chemoembolization and chemoport insertion. Physicians should be aware that fluoroscopy is a potential cause of radiation dermatitis.
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KEYWORD
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Fluoroscopy, Radiation-induced dermatitis, Therapeutic chemoembolization, Hepatocellular carcinoma
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