PART 2: My CaSMO Playbook Managing Skin Toxicities in Oncology Treatment with Dr.Maxwell Sauder

🎙️ My CASMO (Canadian Skin Management in Oncology) Playbook: Part 2🎙️

Description:

In Part 2, dermooncologist Dr. Max Sauder returns to delve deeper into the CASMO algorithm. We navigate the complexities of managing severe cutaneous reactions in patients undergoing radiation. From identifying critical symptoms that necessitate urgent care to understanding the nuances of radiation dermatitis stages and risk factors, this episode is packed with expert insights and practical advice.  We focus on 2 specific areas:

Assessment and Severity Evaluation: Guidance on evaluating the severity of skin toxicities, incorporating case studies to illustrate practical approaches.Management Protocols: Exploration of practical management strategies and specific interventions for common skin toxicities, drawing on literature evidence and expert consensus.

Learning Objectives:

Identify Critical Symptoms:

Recognize severe cutaneous adverse reactions and understand when urgent care is necessary based on symptoms like fever, skin pain, blisters, mucous membrane involvement, and abnormal labs. 🚨

Understand Radiation Dermatitis:

Differentiate between acute and chronic radiation dermatitis.Learn the grading systems (CTCAE and RTOG) and their simplified applications in the CASMO algorithm. 📊

How to Manage Radiation Dermatitis:

Implement effective treatment strategies for both dry and moist desquamation.Understand the role of topical steroids and topical over-the-counter dos and don’ts💊

Recognize Risk Factors:

Identify the factors that increase the risk of radiation dermatitis, considering the cancer type, radiation modality, and regimen. 🧬Learn to manage photosensitivity reactions, particularly with targeted therapies.Explore strategies to ensure patient adherence to prescribed skincare and sun protection protocols, emphasizing the importance of these measures in minimizing treatment interruptions. 🛡️

Photosensitivity Reactions:

Understand the importance of proactive sun protection and the role of topical treatments. ☀️

Promote Adherence:

Explore strategies to ensure patient adherence to prescribed skincare and sun protection protocols, emphasizing the importance of these measures in minimizing treatment interruptions. 🛡️

Episode Highlights:

Danger Zone: Learn to identify those serious skin reactions that need urgent care, stat! 🌡️Radiation Dermatitis Deep Dive: Understand the stages and treatment of radiation dermatitis without getting lost in the weeds. 📋Risk Factors Unmasked: Get to know the usual suspects behind radiation dermatitis. 🔬Photosensitivity Savvy: Protect patients from those sneaky photosensitivity reactions with top-notch tips.  🌞Adherence Hacks: Keep patients sticking to their skincare and sun protection routines like glue.  🔄

Join us for a discussion perfect for a quick listen on your commute or work out🎧

 

REFERENCES AND FURTHER RESOURCES:

1.       The role of skin care in oncology patients: STL-Supp-SkinCareOnc-v2-correction.pdf (skintherapyletter.com)

2.       Canadian general algorithm (cleanse, moisturize, protect):Canadian Skin Management in Oncology (CaSMO) Algorithm for Patients with Oncology Treatment-Related Skin Toxicities (skintherapyletter.com)

3.       Canadian radiotherapy algorithm:Canadian Skin Management in Oncology Group (Casmo) Algorithm for the Prevention and Management of Acute Radiation Dermatitis (skintherapyletter.com)

4.       Canadian immunotherapy algorithm: CaSMO Management of Cutaneous Toxicities Associated with Immune Checkpoint Inhibitors: A Practical Primer (skintherapyletter.com)

5.       Canadian hormonal therapy algorithm: Casmo Algorithm for Management of Hormonal Therapy-Related Cutaneous Adverse Effects in Oncology Patients (skintherapyletter.com)

6.       Canadian targeted therapy algorithm:Casmo Prevention and Management of Four Common Cutaneous Toxicities Associated with Targeted Cancer Therapies: Papulopustular Eruption, Xerosis, Paronychia, and Hand-Foot Skin Reaction (skintherapyletter.com)

 

 

 

 

About Dr.Maxwell Sauder MD, FRCPCDermatologist  |  Toronto 

Dr. Maxwell Sauder is a board-certified dermatologist with additional fellowship training. He earned his Doctor of Medicine at McMaster University and completed a residency in dermatology at The University of Ottawa. He completed fellowship training in Cutaneous Oncology at Harvard Medical School. He is a former instructor in dermatology at Harvard Medical School.

Dr. Sauder is currently an assistant professor at the University of Toronto. He is an onco-dermatologist at Princess Margaret Cancer Centre. He also practices at Toronto Dermatology Centre where he is the research director and the director of the Pigmented Lesion Clinic.

Well published in numerous peer-reviewed journals, Dr. Sauder has also authored several book chapters, been referenced on www.uptodate.com, and has won numerous awards including the Partner’s President Prize at Harvard and the Royal College’s Detweiler Fellowship Award. His publications have covered topics such as eczema, patient education, aesthetic dermatology, sun safety, psoriasis, biologics, adverse drug reactions, hemangiomas, contact dermatitis, cutaneous oncology, and a host of complex medical dermatology conditions. 

 

📻www.skinandjoints.ca

✉️[email protected]

 

 

📻www.skinandjoints.ca

✉️[email protected]