Skin markings in external radiotherapy by temporary tattooing with henna: Improvement of accuracy and increased patient comfort

Skin markings in external radiotherapy by temporary tattooing with henna: Improvement of accuracy and increased patient comfort
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DOI:
10.1016/s0360-3016(01)01439-0
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发表时间:
2001-05-01
影响因子:
7
通讯作者:
Kogelnik, HD
Kogelnik, HD
中科院分区:
医学1区
文献类型:
--
作者:
Wurstbauer, K;Sedlmayer, F;Kogelnik, HD

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目的:确保接受一疗程外放射治疗的患者,特别是使用适形技术的患者,皮肤纹路保持不变。使用指甲花的皮肤标记也增加了患者的舒适度,因为洗涤和淋浴是允许的。方法和材料:指甲花是一种完全天然的产品,是一种具有5000年历史的皮肤着色剂。以糊状物的形式涂抹在皮肤上,干燥时,指甲花会将浅层皮肤染上几个星期,标记的地方可以随意暴露在水中。在放射治疗结束前污渍褪色的情况下,可以重复标记过程。从1998年11月到2000年3月,我们对158例不同肿瘤部位的患者进行了指甲花皮肤标记术。大多数患者接受了适形放射治疗。所有患者都接受了标记的耐久性、每个疗程所需标记程序的数量以及可能的相关副作用的评估。结果:指甲花染色的中位持久性为23天(范围12-48天)。平均而言,两个标记程序(范围1-4)对于一个有治疗意图的患者是必要的。虽然洗澡和淋浴是自由的,但没有观察到不良的皮肤副作用(如红斑、过敏反应)。结论:用指甲花临时纹身的皮肤标记提高了外照射的准确性。它在整个放射治疗过程中产生稳定和不变的标记,也增加了患者的舒适性。(C)2001年爱思唯尔科学公司。
Purpose: To guarantee invariable skin markings in patients undergoing a course of external radiotherapy, especially using conformal techniques. Cutaneous markings with henna also increase patient comfort, because washing and showering are allowed.Methods and Materials: Henna, a completely natural product, is a skin colorant with a history of 5,000 years. It is applied to the skin in the form of a paste, While drying, henna stains the superficial skin layers for several weeks, and the marked area can be exposed to water arbitrarily. In case of fading of the stain before the end of radiotherapy, the marking procedure can be repeated. From November 1998 until March 2000, we performed skin markings with henna in 158 patients with different tumor sites. The majority of patients received conformal radiotherapy techniques. All patients have been evaluated concerning durability of the markings, the required number of marking procedures per treatment course, and possible related side effects.Results: The median durability of henna staining is 23 days (range 12-48 days). On average, two marking procedures (range 1-4) are necessary for a patient treated with curative intent. Although washing and showering are freely permitted, no adverse cutaneous side effects (e.g., erythema, allergic reactions) have been observed.Conclusions: Skin marking by temporary tattooing with henna increases the accuracy of external radiotherapy. It yields stable and invariable markings for the entire course of radiotherapy and also increases the comfort of patients. (C) 2001 Elsevier Science Inc.