Frequency and Management of Hemorrhagic Malignant Wounds: A Retrospective, Single-Center, Observational Study

Nicodème, Marguerite; Dureau, Sylvain; Chéron, Maxime; Kriegel, Irène; Trenchand, Mélissandre; Bauër, Pierre; Fromantin, Isabelle

doi:10.1016/j.jpainsymman.2020.11.031

Cited by 6 publications

(3 citation statements)

References 28 publications

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“…Among the recommendations, the main one was prevention, the suggestion being to avoid dressings that adhere too closely to the wound bed and to be extra careful when removing them. In this study, 80% of bleeding events were associated with dressing changes 21 .…”

Section: Discussionmentioning

confidence: 49%

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Construction of an Algorithm of Conduct of Signs and Symptoms in Malignant Neoplastic Wounds in Adults

Furtado,

Sagica,

Silva

et al. 2024

ESTIMA, Braz. J. Enterostomal Ther.

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Objective: To build an algorithm of conducts to control signs and symptoms of malignant neoplastic wounds in adults. Method: Methodological research, of an exploratory nature, for the construction-production of a clinical algorithm based on the scoping review. Results: A total of 107 studies was found in the databases, nine of which were included in this review. Four studies are randomized experimental studies, four are case studies and one is retrospective documentary observational study. Odor was the most addressed sign, followed by exudate, bleeding, infection, moisture-associated dermatitis, and pain. Conclusion: Gaps were observed, such as the need for more original and experimental studies, in addition to the lack of a specific descriptor for malignant neoplastic wound. However, it was possible to build an algorithm that offers conducts that are based on the literature for greater theoretical support and nursing safety in relation to cancer patients.

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Section: Discussionmentioning

confidence: 49%

“…Calcium and sodium alginate, despite having hemostatic properties, can cause trauma when exchanged and cause bleeding, a fact that was reported in the case study by Silva et al 19 Hemostatic agents are also mentioned as therapeutic measures widely used in centers. surgical procedures and pre-hospital emergencies to control bleeding 21 .…”

Section: Discussionmentioning

confidence: 99%

Construction of an Algorithm of Conduct of Signs and Symptoms in Malignant Neoplastic Wounds in Adults

Furtado,

Sagica,

Silva

et al. 2024

ESTIMA, Braz. J. Enterostomal Ther.

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“…O alginato de cálcio e sódio, apesar de apresentar propriedades hemostáticas, pode causar trauma na sua troca e ocasionar sangramento, fato que foi relatado no estudo de caso de Silva et al 19 Também são citados os agentes hemostáticos como medidas terapêuticas amplamente utilizadas em centros cirúrgicos e emergências pré-hospitalares para controle do sangramento 21 .…”

Section: Discussionunclassified

Construção De Algoritmo De Condutas De Sinais E Sintomas Nas Feridas Neoplásicas Malignas Em Adultos

Furtado,

Sagica,

Silva

et al. 2024

ESTIMA, Braz. J. Enterostomal Ther.

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Objetivo:Construir um algoritmo de condutas sobre controle de sinais e sintomas de feridas neoplásicas malignas em adultos. Método: Pesquisa metodológica, de caráter exploratório, para construção de algoritmo clínico fundamentado em uma revisão de escopo. Resultados: Foram encontrados 107 estudos nas bases de dados, dos quais nove foram incluídos nessa revisão. Quatro estudos são experimentais randomizados, quatro são estudos de caso e um estudo é observacional documental retrospectivo. O odor foi o sinal mais abordado, seguido de exsudato, sangramento, infecção, dermatite associada à umidade e dor. Conclusão: Foram observadas lacunas, como a necessidade de mais estudos originais e experimentais, além da inexistência de um descritor específico para ferida neoplásica maligna, contudo foi possível construir o algoritmo, que oferece condutas fundamentadas na literatura para maior respaldo teórico e segurança da enfermagem em relação aos pacientes oncológicos.

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Management of malignant cutaneous wounds in oncologic patients

Starace

Carpanese

Pampaloni

et al. 2022

Support Care Cancer

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Purpose Neoplastic wounds may develop as a result of primary tumor growth in the skin, due to metastasis, or due to skin invasion by tumors emerging from deeper levels. Malignant wounds may present as a crater-like ulcer, or as raised nodules with a cauliflower-like appearance. They are associated with malodor, necrosis, pain, bleeding, and secondary infection. The aim of our study is to better characterize fungating wounds and their management. Methods We retrospectively reviewed the database of the Wound Care Unit of the University of Bologna in order to identify individuals affected by neoplastic wound, between January 2019 and February 2021. Results We identified 9 females and 2 males with a mean age of 63 years; all were referred by the Oncology Unit. Management differed depending on the characteristics of the patients and the ulcers. Complete healing of the wound, following the parallel complete remission of the lymphoproliferative neoplasia, was observed in one individual. Among the others, one died because of breast cancer, while cutaneous lesions in 2 individuals deteriorated after 1 year of follow-up. Remission/relapse of the ulcer following the treatment course administered for the lymphoma were observed in one patient. Conclusions Treatment of malignant fungating wounds is challenging. Considering the neoplastic nature of the wounds, complete healing or improvement cannot be expected with the application of classically prescribed dressing for wounds. A mostly palliative treatment, focusing on maintaining the patient’s quality of life, is a reasonable choice.

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Frequency and Management of Hemorrhagic Malignant Wounds: A Retrospective, Single-Center, Observational Study

Cited by 6 publications

References 28 publications

Construction of an Algorithm of Conduct of Signs and Symptoms in Malignant Neoplastic Wounds in Adults

Construction of an Algorithm of Conduct of Signs and Symptoms in Malignant Neoplastic Wounds in Adults

Construção De Algoritmo De Condutas De Sinais E Sintomas Nas Feridas Neoplásicas Malignas Em Adultos

Management of malignant cutaneous wounds in oncologic patients

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