Atuação da fisioterapia dermatofuncional no manejo de efeitos colaterais dérmicos no tratamento oncológico para câncer de pele : revisão narrativa de literatura.

Abstract

Introduction: Skin cancer has a high epidemiological impact, and dermatological toxicities from its treatment compromise skin integrity. Dermato-functional physiotherapy acts as an essential adjuvant approach to manage these complications. Objective: To analyze the efficacy and safety of dermatofunctional physiotherapy interventions in managing cutaneous alterations and restoring the dermal barrier in patients undergoing oncological treatment for skin cancer. Methodology: Narrative literature review using scientific articles published between 2017 and 2026 in PubMed, SciELO, Lilacs, and CAPES Journals Portal. Results and Discussion: Seven main studies were selected. Photobiomodulation therapy (PBMT) stood out as the gold standard for prophylactic (600–980 nm; 1–2 J/cm²) and curative (660–980 nm; 4–6 J/cm²) use, promoting epithelial repair with proven peripheral oncological safety. In chronic management, the mechanical forces of deep manual therapy and superficial, rhythmic Manual Lymphatic Drainage (MLD), directed to healthy lympholymphatic anastomoses, act via mechanotransduction reducing lymphostatic fibrosis, pruritus, and pain, without risk of inducing metastasis. Multimodal protocols integrating laser therapy, massage, TENS, and global kinesitherapy optimize functional outcomes. Conclusion: Dermato-functional role is effective and safe in supportive oncology care, minimizing adverse reactions and restoring the dermal barrier. High methodological heterogeneity in the literature was identified as a major difficulty, suggesting the need for further controlled clinical trials for specific guidelines.