The Radiation Therapy Oncology Group (RTOG) and the European Organization for Research on the Treatment of Cancer (EORTC) provide criteria for assessing the complications of radiation therapy affecting the skin.
Guidelines:
(1) Change in affected parameter is ascribed to radiation therapy and not underlying or concurrent disease.
(2) Considered acute if occurs from day 1 to 90; after day 90 considered late complication.
Acute Complications
Grade 0: none (no change from baseline)
|
Injury |
Grade 1 |
Grade 2 |
Grade 3 |
Grade 4 |
|
erythema |
follicular, faint or dull erythema |
tender or bright erythema |
NA |
NA |
|
desquamation |
dry |
patchy, moist |
confluent, moist (other than in skin folds) |
NA |
|
edema |
NA |
moderate |
pitting |
NA |
|
other |
hair loss (epilation); decreased sweating |
NA |
NA |
ulceration, hemorrhage, necrosis |
Grade 5: death directly due to radiation effect
Late Complications
Grade 0: no change
|
Injury |
Grade 1 |
Grade 2 |
Grade 3 |
Grade 4 |
|
atrophy |
slight |
patchy |
marked |
NA |
|
hair loss |
some |
total |
|
NA |
|
telangiectasia |
NA |
moderate |
gross |
NA |
|
other |
pigmentation change |
NA |
NA |
ulceration |
Grade 5: death directly due to radiation late effect
Specialty: Hematology Oncology, Dermatology
ICD-10: ,
