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Radiation recall dermatitis induced by trastuzumab

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Abstract

We report a case of radiation recall dermatitis caused by trastuzumab. A 55-year-old woman with metastatic breast cancer received palliative first-line trastuzumab/paclitaxel and a salvage partial mastectomy with lymph node dissection was subsequently performed. In spite of the palliative setting, the pathology report indicated that no residual carcinoma was present, and then she underwent locoregional radiotherapy to ensure a definitive response. After radiotherapy, she has maintained trastuzumab monotherapy. Nine days after the fifth cycle of trastuzumab monotherapy, dermatitis in previously irradiated skin developed, with fever. Radiation recall dermatitis triggered by trastuzumab is extremely rare. A high fever developed abruptly with a skin rash. This may be the first case of this sort to be reported.

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References

  1. Camidge R, Price A. Characterizing the phenomenon of radiation recall dermatitis. Radiother Oncol. 2001;59:237–45.

    Article  PubMed  CAS  Google Scholar 

  2. Burris HA III, Hurtig J III. Radiation recall with anticancer agents. Oncologist. 2010;15(11):1227–37.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  3. Azria D, Magné N, Zouhair A, Castadot P, Culine S, Ychou M, et al. Radiation recall: a well recognized but neglected phenomenon. Cancer Treat Rev. 2005;31(7):555–70.

    Article  PubMed  Google Scholar 

  4. Slamon DJ, Leyland-Jones B, Shak S, et al. Use of chemotherapy plus a monoclonal antibody against HER2 for metastatic breast cancer that over expresses HER2. N Engl J Med. 2001;344:783–92.

    Article  PubMed  CAS  Google Scholar 

  5. Hudis CA. Trastuzumab—mechanism of action and use in clinical practice. N Engl J Med. 2007;357:39–51.

    Article  PubMed  CAS  Google Scholar 

  6. Piccart-Gebhart MJ, Procter M, Leyland-Jones B, et al. Trastuzumab after adjuvant chemotherapy in HER2-positive breast cancer. N Engl J Med. 2005;353:1659–72.

    Article  PubMed  CAS  Google Scholar 

  7. Romond EH, Perez EA, Bryant J, et al. Trastuzumab plus adjuvant chemotherapy for operable HER2-positive breast cancer. N Engl J Med. 2005;353:1673–84.

    Article  PubMed  CAS  Google Scholar 

  8. D Slamon, W Eiermann, N Robert, et al. (2009) Phase III randomized trial comparing doxorubicin and cyclophosphamide followed by docetaxel (AC → T) with doxorubicin and cyclophosphamide followed by docetaxel and trastuzumab (AC-TH) with docetaxel, carboplatin and trastuzumab (TCH) in HER-2 positive early breast cancer patients: BCIRG 006 study. Cancer Res 69 (24 Suppl):Abstract nr 62.

  9. Pierga JY, Mouret E, Dieras V, et al. Prognostic value of persistent node involvement after neoadjuvant chemotherapy in patients with operable breast cancer. Br J Cancer. 2000;83(11):1480–7.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  10. van der Hage JA, van de Velde CJ, Julien JP, et al. Preoperative chemotherapy in primary operable breast cancer: results from the European Organization for Research and Treatment of Cancer trial 10902. J Clin Oncol. 2001;19(22):4224–37.

    PubMed  Google Scholar 

  11. D’Angio GJ, Farber S, Maddock CL. Potentiation of X-ray effects by actinomycin D. Radiology. 1959;73:175–7.

    Article  PubMed  Google Scholar 

  12. Cho S, Breedlove JJ, Gunning ST. Radiation recall reaction induced by levofloxacin. J Drugs Dermatol. 2008;7:64–7.

    PubMed  Google Scholar 

  13. Chung C, Stuart D, Keyes M. Radiation recall reaction induced by adjuvant trastuzumab (herceptin). Case Rep Med. 2009;2009:307894.

    PubMed  PubMed Central  Google Scholar 

  14. Shrimali RK, McPhail NJ, Correa PD, Fraser J, Rizwanullah M. Trastuzumab-induced radiation recall dermatitis — first reported case. Clin Oncol (R Coll Radiol). 2009;21:634–5.

    Article  CAS  Google Scholar 

  15. Baek SW, Seo YJ, Kim JS, Lee HJ. Radiation recall dermatitis after treatment with paclitaxel and cisplatin. Ann Dermatol. 2012;24:223–4.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Hird AE, Wilson J, Symons S, Sinclair E, Davis M, Chow E. Radiation recall dermatitis: case report and review of the literature. Curr Oncol. 2008;15:53–62.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  17. Vujovic O. Radiation recall dermatitis with azithromycin. Curr Oncol. 2010;17:119–21.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  18. Kandemir EG, Karabudak O, Maydagli A. Docetaxel-induced radiation recall dermatitis. Swiss Med Wkly. 2005;135:34–5.

    PubMed  Google Scholar 

  19. Haas RL, de Klerk G. An illustrated case of doxorubicin-induced radiation recall dermatitis and a review of the literature. Neth J Med. 2011;69:72–5.

    PubMed  CAS  Google Scholar 

  20. Barlesi F, Tummino C, Tasei AM, Astoul P. Unsuccessful rechallenge with pemetrexed after a previous radiation recall dermatitis. Lung Cancer. 2006;54:423–5.

    Article  PubMed  Google Scholar 

  21. Kennedy RD, McAleer JJ. Radiation recall dermatitis in a patient treated with dacarbazine. Clin Oncol (R Coll Radiol). 2001;13:470–2.

    PubMed  CAS  Google Scholar 

  22. Spirig C, Omlin A, D’Addario G, Loske KD, Esenwein P, Geismar JH, et al. Radiation recall dermatitis with soft tissue necrosis following pemetrexed therapy: a case report. J Med Case Rep. 2009;3:93.

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Soohyeon Lee.

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Moon, D., Koo, J.S., Suh, CO. et al. Radiation recall dermatitis induced by trastuzumab. Breast Cancer 23, 159–163 (2016). https://doi.org/10.1007/s12282-013-0462-6

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  • DOI: https://doi.org/10.1007/s12282-013-0462-6

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