Handbook of Cancer Treatment-Related Toxicities

Dermatological Toxicities of Chemotherapy

Introduction Chemotherapy can affect skin in various ways, and several chemotherapeutic agents have been linked to distinctive cutaneous side effects. Although these side effects are rarely life-threatening, they can cause considerable distress and discomfort to patients (alopecia, hyperpigmentation), negatively impacting…

Pulmonary Toxicities of Chemotherapy

Introduction Respiratory insufficiency in patients receiving systemic chemotherapy often is a diagnostic dilemma for clinicians. Patients receiving chemotherapy are frequently immunosuppressed and may have concurrent bone marrow suppression, or pulmonary involvement from underlying malignancy, making the differential diagnosis of respiratory…

Neurological Complications of Chemotherapy

Introduction Chemotherapy-related neurotoxicity is a frequently observed side effect that has become more prevalent with the increasing number of long-term cancer survivors. These toxicities can be peripheral or central and can range from minor cognitive issues to encephalopathy or dementia.…

Gastrointestinal Complications of Chemotherapy

Introduction Gastrointestinal (GI) toxicities are common side effects of most chemotherapy agents. Their effect on rapidly dividing GI tract cells can lead to mucosal inflammation, ulceration, and perforation. The most common GI toxicities include oral mucositis (see Chapter 5 ),…

Oral Mucositis

Introduction ■ Mucositis is defined as inflammation of the mucous membranes lining the alimentary tract, causing mucosal injury. Mucositis can occur in response to systemic chemotherapy or other etiologies (e.g., infection, radiation). Mucositis generally begins approximately 3 to 4 days…

Cancer Treatment-Related Thrombocytopenia

Introduction ■ A multitude of cancer treatments are known to cause thrombocytopenia (TCP), termed treatment-related thrombocytopenia. Chemotherapy-induced thrombocytopenia (CIT) is a term that refers specifically to thrombocytopenia caused by chemotherapy drugs. Notably, many nonchemotherapy cancer treatments may also cause thrombocytopenia.…

Chemotherapy-Induced Anemia

Introduction ■ Anemia is caused by the deficiency of red blood cells or hemoglobin, resulting in a reduction in the oxygen-carrying capacity of blood and is commonly associated with cancer-directed therapies. Chemotherapy, radiotherapy, and cancer-related surgery can all contribute to…

Neutropenic Complications of Chemotherapy

Introduction ■ Neutrophils, eosinophils, and basophils are a subset of white blood cells characterized by the presence of granules and collectively referred to as granulocytes. Granulocytopenia is a decrease in the absolute count of these three cell lines while neutropenia…