The effects of treatment on your skin.
It is important to speak with your treatment team if you experience skin changes. Not everyone being treated will have side effects. You may find it reassuring to talk to your doctor and nurses about your treatment and possible effects.
The aim of treatment for cancer is to destroy or remove cancer cells. The most common treatments are surgery, chemotherapy and radiotherapy. These can be used either alone or in combination.
Chemotherapy interferes with the way the cells of the body divide and reproduce themselves. Both healthy cells and cancer cells are affected by chemotherapy. Cells that rapidly divide and grow are most affected. The skin is one area that may be affected. These effects depend on the chemotherapy drug, the dose and length of treatment and if you are having other treatments.
The effect of radiotherapy on your skin depends on many factors. These include the dose and strength of the radiotherapy, the number of treatments, the site and if you are receiving other treatments i.e. chemotherapy.
Damage to the skin cells is usually temporary. The chance of developing problems with your skin depends on the treatment you have. Talk to your doctors and nurses about your treatment and side effects.
What can happen to your skin?
Skin changes due to radiotherapy can look and feel like sunburn.
- dry skin
- thinning of the skin.
Skin reactions can occur with some chemotherapy treatments.
- increased sensitivity to sunlight
- changes in skin colour
- changes to nails
- acne like rash
How to care for your skin
Inspect your skin daily for any signs of redness, swelling or discomfort. Ask the nurse at the hospital to show you how to do this.
There are things you can do to help lessen the effects from treatment on your skin.
- Ensure you are eating healthy foods and drinking fluids. Some gentle exercise is useful too.
- Avoid tight fitting clothes
- Wear soft fabrics like cotton. Avoid synthetic fabrics and heavy wool
- Avoid extremes in temperatures i.e. hot water bottles, ice packs, hair dryers
- Bathe with lukewarm water
- Gently pat the skin dry with a soft towel—do not rub
- Keep skin folds dry
- Check with your doctor before using soap, perfume, deodorant, talcum powder, creams or cosmetics on the treated area
- Protect your skin from sunlight
- Shaving in the treatment area should only be done using an electric razor.
Remember: Let the doctor or nurse know if you have any pain, redness, peeling or problems with your skin or nails. The sooner problems are dealt with, the better the outcome.
Dealing with more specific skin problems
Care of your nails
Chemotherapy drugs can cause mild and temporary changes in your nails. Brittleness, grooving or discolouration can occur.
- Avoid cutting your cuticles
- Wear rubber gloves when doing dishes or housework
- Do not use artificial nails
- Keep nails short.
Skin colour changes
Chemotherapy and radiotherapy can cause changes in the skin. These include an increase in skin colour or blotchiness. This is usually temporary and will disappear after treatment has finished.
- Protect your skin from the sun
- Do not use cosmetics to cover blemishes on the skin receiving radiation treatment
- Protect skin from direct heat or cold.
- Problems with your skin or nails can be prevented, treated or relieved. Seek help from the doctor or nurse as soon as symptoms occur.