RESUMEN
We describe 5 years of follow-up of a previously reported case of disabling ionizing radiation (IR)-related cutaneous cancer in a high-volume interventional cardiologist. This case illustrates the cycle of exposure, disease, remission, and re-exposure that demonstrates the cause-and-effect relationship between radiation exposure and cutaneous cancer. Prior cautions for working in environments with radiation exposure emphasized strict adherence to the ALARA principle and called for improved radiation protection equipment. New studies stress that radiation exposure should be as near to zero as possible and place a call for research and technologies that mitigate the use of IR for all interventionists.
Asunto(s)
Carcinoma Basocelular/etiología , Carcinoma de Células Escamosas/etiología , Melanoma/etiología , Neoplasias Inducidas por Radiación/etiología , Exposición Profesional/efectos adversos , Dosis de Radiación , Exposición a la Radiación/efectos adversos , Radiografía Intervencional/efectos adversos , Radiólogos , Neoplasias Cutáneas/etiología , Carcinoma Basocelular/patología , Carcinoma Basocelular/terapia , Carcinoma de Células Escamosas/patología , Carcinoma de Células Escamosas/terapia , Humanos , Masculino , Melanoma/patología , Melanoma/terapia , Persona de Mediana Edad , Neoplasias Inducidas por Radiación/patología , Neoplasias Inducidas por Radiación/terapia , Salud Laboral , Factores de Riesgo , Neoplasias Cutáneas/patología , Neoplasias Cutáneas/terapia , Resultado del TratamientoRESUMEN
This case report documents the presentation of a disabling ionizing radiation (IR)-related illness (multiple basal cell carcinoma [BCC] syndrome) in a 50-year-old interventional cardiologist. This case emphasizes the need for interventionalists to: (1) understand the occupational hazards of IR; (2) recognize the failure of existing protective gear to provide sufficient protection from IR; (3) promote strict adherence to IR safety protocols; and (4) call for the development of improved technology for radiation protection.