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Review
. 2020 Sep-Oct;95(5):631-637.
doi: 10.1016/j.abd.2020.03.005. Epub 2020 Jun 16.

Scalp cooling to prevent chemotherapy-induced alopecia

Affiliations
Review

Scalp cooling to prevent chemotherapy-induced alopecia

Giselle de Barros Silva et al. An Bras Dermatol. 2020 Sep-Oct.

Abstract

Chemotherapy-induced alopecia causes an important impact on cancer patients and its risk of persistence is currently a considerable issue in cancer survivors. Of the various interventions proposed for the prevention of chemotherapy-induced alopecia, scalp cooling has emerged as an effective and safe strategy. This paper aims to provide an overview on scalp cooling and chemotherapy-induced alopecia prevention.

Keywords: Alopecia; Antineoplastic combined chemotherapy protocols; Cooling; Drug therapy; Prevention and mitigation.

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Figures

Figure 1
Figure 1
Chemotherapy-induced alopecia. Breast cancer patient at the end of the treatment with four cycles of doxorubicin and cyclophosphamide (Photo courtesy of Lívia Nicoletti Ariano).
Figure 2
Figure 2
Trichoscopy of chemotherapy-induced alopecia. Trichoscopic findings in the region of the vertex of the scalp of the patient in fig. 1: multiple black dots, circular hair, and growing hair. Rare terminal hairs, some showing points of constriction (Pohl-Pinkus) in their extension, referring to previous cycles of chemotherapy (Photo courtesy of Lívia Nicoletti Ariano).

References

    1. Kiebert G.M., Hanneke J., de Haes C.J., Kievit J., van de V.C. Effect of peri-operative chemotherapy on the quality of life of patients with early breast cancer. Eur J Cancer. 1990;26:1038–1042. - PubMed
    1. Trüeb R.M. Chemotherapy-induced alopecia. Curr Opin Support Palliat Care. 2010;4:281–284. - PubMed
    1. Protière C., Evans K., Camerlo J., d’Ingrado M.P., Macquart-Moulin G., Viens P. Efficacy and tolerance of a scalp-cooling system for prevention of hair loss and the experience of breast cancer patients treated by adjuvant chemotherapy. Support Care Cancer. 2002;10:529–537. - PubMed
    1. Parker R. The effectiveness of scalp hypothermia in preventing cyclophosphamide-induced alopecia. Oncol Nursy Forum. 1987;14:49–53. - PubMed
    1. Auvinen P.K., Mähönen U.A., Soininen K.M., Paananen P.K., Ranta-Koponen P.H., Saavalainen I.E. The effectiveness of a scalp cooling cap in preventing chemotherapy-induced alopecia. Tumori. 2010;96:271–275. - PubMed

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