Adriamycin--irradiation cutaneous complications

Four cases of abnormally severe skin reactions including an instance of skin necrosis occurred in patients with breast cancer who were treated with cyclophosphamide, adriamycin and irradiation concurrently following mastectomy. These unusual skin reactions apparently resulted from the interaction of radiation with adriamycin and prompted us to modify both the radiation dose and the timing of administration of chemotherapy. To date, no unusual or severe skin reactions have been observed in 14 patients who have received chemotherapy with adriamycin plus radiation in accord with this modified treatment plan