Homologous platelet gel on radiation-induced dermatitis in a patient receiving head and neck radiotherapy plus cetuximab: A case report

Medicine (Baltimore). 2023 Aug 25;102(34):e34779. doi: 10.1097/MD.0000000000034779.

Abstract

Introduction: Acute radiodermatitis is a significant complication of cancer radiotherapy, and platelet-based therapies are emerging as potential new treatments.

Main symptoms and important clinical findings: In this report, we present the case of a patient with head and neck cancer undergoing radiotherapy combined with the monoclonal antibody cetuximab. After 4 weeks of this treatment, the patient developed cutaneous radiation dermatitis. Despite receiving standard treatment with corticosteroids and emollient cream, the lesion did not improve.

Main diagnosis: cutaneous radiation dermatitis on head and neck cancer patient.

Therapeutic interventions: Topical application of platelet gel was initiated on the wound. From the second week of radiotherapy to the 4th week, homologous platelet-rich plasma was applied on the dermatitis using a bandage, 4 times a day.

Outcomes: The topical treatment with homologous platelet gel resulted in complete healing of the radiodermatitis, including restoration of the epidermis, reepithelialization, and reduction in associated pain.

Conclusion: homologous platelet gel might be an alternative to standard treatment of radiation dermatitis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antineoplastic Agents, Immunological* / therapeutic use
  • Blood Platelets
  • Cetuximab* / therapeutic use
  • Combined Modality Therapy
  • Complementary Therapies* / methods
  • Gels
  • Humans
  • Male
  • Oropharyngeal Neoplasms* / drug therapy
  • Oropharyngeal Neoplasms* / radiotherapy
  • Radiodermatitis* / etiology
  • Radiodermatitis* / therapy
  • Squamous Cell Carcinoma of Head and Neck* / drug therapy
  • Squamous Cell Carcinoma of Head and Neck* / radiotherapy

Substances

  • Cetuximab
  • Antineoplastic Agents, Immunological
  • Gels