Care of Metastatic Skin Lesions

Malignant wounds in women with breast cancer: feminine and sexual perspectives

“…The incidence of malignant wounds in patients with breast cancer is shown to be 2–5% (Fairbairn 1993, Haisfield‐Wolfe & Rund 1997, Grocott 1999). The issue of malignant wounds in women with breast cancer is neglected nationally and internationally (Ivetic & Lyne 1990, Moody & Grocott 1993, Bauer et al. 2000).…”

Efetividade do metronidazol no tratamento de odores em feridas tumorais

“…Among the articles analyzed, eight studies were observational (80.0%) (12)(13)(14)(15)(16)(17)(18)(19), of which six were case reports (60.0%) (12)(13)(14)(15)(18)(19) , one study was case series (10.0%) (17) and one was a cohort study (10.0%) (20) ; two are experimental studies (20.0%) (4,15) ; a quasi-experiment (10.0%) (15) ; and a randomized controlled trial (10.0%) (4) . The predominance of North American studies is observed, with four studies (40.0%) (14)(15)(16)(17) , followed by two Brazilian studies (20.0%) (12)(13) , two Japanese studies (20.0% ) (4,17) , one Canadian (10.0%) (18) and one British (10.0%) (19) .…”

“…The studies showed seven different pharma ceutical forms of metronidazole: vaginal cream (12) , injectable (13) , powder (18) , tablets (19) , 1% saline solution (14) , 0.75% gel (4,16,20) and 0.80% gel (17) . The most used form of administration was the topical route in eight studies (80.0%) (4,12,(14)(15)(16)(17)(18)(19) and two studies used the systemic route (20.0%) (13,20) . The gel preparation at 0.75% was the most used and evidenced in three studies (30.0%) (4,16,20) .…”

“…Then, the tablets were presented in two studies (20.0%) (15,19) , and the tablet was administered in two forms: by oral administration (systemic use) (19) and macerated tablets being administered directly into the lesion (topical) (15) . One study used the vaginal cream directly on a lesion located on the face and obtained a satisfactory result (12) .…”

Palliative Wound Care, Part 2

“…Results showed minimal changes in the management of these types of wounds from 1990 to present date (Bauer et al, 2000;Ivetic´ & Lyne, 1990;Langemo, 2012). A literature review of "palliative wound care," "care for malignant and fungating wounds," and "wounds at end of life" in Medline, PubMed, and CINHAL was completed.…”