Skip to main content

Advertisement

Log in

Scalp Cooling Impact in Alopecia of Patients Under Treatment for Breast Cancer—Literature Review

  • Medicine
  • Published:
SN Comprehensive Clinical Medicine Aims and scope Submit manuscript

Abstract

Chemotherapy-induced alopecia is a common side effect of breast cancer therapies. Thus, the objective of this study was to carry out a bibliographic survey concerning the effectiveness of scalp cooling in alopecia of patients undergoing treatment for breast cancer. The search was conducted in the databases LILACS (Latin American and Caribbean Literature in Health Sciences), PubMed, Science Direct, Scopus, and Web of Science, by using “scalp cooling” AND “breast cancer” as search terms. Articles from the last 5 years were selected, which included cohort studies, case reports, and randomized studies. The final sample consisted of 16 publications. Data from the studies revealed that the use of hypothermic cap was effective in reducing alopecia. In addition, factors such as temperature and time of cap usage, dose and combination of medications, and hair care influenced in the reduction of hair loss. It was possible to observe that treatment schedules without anthracyclines were more responsive to the effects of scalp cooling, reducing hair loss. Therefore, this study gathered relevant information, showing that scalp cooling is effective and its use should be encouraged by health professionals.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. INCA. Estimativas 2020. Rio de Janeiro: Instituto Nacional de Câncer José Alencar Gomes da Silva - INCA; 2020.

    Google Scholar 

  2. INCA. ABC do Cancer - Abordagens Básicas para o Controle do Cancer. Instituto Nacional de Câncer José Alencar Gomes da Silva - INCA, Rio de Janeiro. 2019 5. ed. rev. atual.: 1-111.

  3. Kotsopoulos J, Chen WY, Gates MA, Tworoger SS, Hankinson SE, Rosner BA. Risk factors for ductal and lobular breast cancer: results from the nurses’ health study. Breast Cancer Res. 2010;12:R106.

    Article  Google Scholar 

  4. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Ca-a Cancer Journal for Clinicians. 2018;68:394–424.

    Article  Google Scholar 

  5. NCI. National Cancer Institute - Cancer types - breast cancer. In: Editor (ed)^(eds) Book National Cancer Institute - Cancer types - breast cancer, City. 2020.

  6. Munzone E, Bagnardi V, Campennì G, Mazzocco K, Pagan E, Tramacere A, et al. Preventing chemotherapy-induced alopecia: a prospective clinical trial on the efficacy and safety of a scalp-cooling system in early breast cancer patients treated with anthracyclines. Br J Cancer. 2019;121:325–31.

    Article  CAS  Google Scholar 

  7. Fushimi A, Shinozaki N, Takeyama H. Hair regrowth using a properly fitted scalp cooling cap during adjuvant chemotherapy for breast cancer. Int Cancer Conf J. 2019;8:181–4.

    Article  Google Scholar 

  8. Kinoshita T, Nakayama T, Fukuma E, Inokuchi M, Ishiguro H, Ogo E, et al. Efficacy of scalp cooling in preventing and recovering from chemotherapy-induced alopecia in breast cancer patients: the HOPE study. Front Oncol. 2019;9.

  9. Godone RLN, Leitão GM, Araújo NB, Castelletti CHM, Lima-Filho JL, Martins DBG. Clinical and molecular aspects of breast cancer: targets and therapies. Biomed Pharmacother. 2018;106:14–34.

    Article  CAS  Google Scholar 

  10. Cortés J, Ciruelos E, Pérez-García J, Albanell J, García-Estévez L, Ruiz-Borrego M, et al. Contextualizing pertuzumab approval in the treatment of HER2-positive breast cancer patients. Cancer Treat Rev. 2020;83:101944.

    Article  Google Scholar 

  11. Lemieux J, Maunsell E, Provencher L. Chemotherapy-induced alopecia and effects on quality of life among women with breast cancer: a literature review. Psycho-Oncology. 2008;17:317–28.

    Article  Google Scholar 

  12. Rosman S. Cancer and stigma: experience of patients with chemotherapy-induced alopecia. Patient Educ Couns. 2004;52:333–9.

    Article  Google Scholar 

  13. Smith IE. Prevention of doxorubicin-induced alopecia by scalp hypothermia: relation to degree of cooling. Bmj. 1982;284:1954.

    Article  Google Scholar 

  14. Edelstyn G. Doxorubicin-induced hair loss and possible modification by scalp cooling. Lancet. 1977;310:253–4.

    Article  Google Scholar 

  15. Bajpai J, Kagwade S, Chandrasekharan A, Dandekar S, Kanan S, Kembhavi Y, et al. Randomised controlled trial of scalp cooling for the prevention of chemotherapy induced alopecia. Breast. 2020;49:187–93.

    Article  CAS  Google Scholar 

  16. Paxman (2020) Resfriamento Capilar - Profissionais da Saúde. In: Editor (ed)^(eds) Book Resfriamento Capilar - Profissionais da Saúde, City.

  17. Cigler T, Isseroff D, Fiederlein B, Schneider S, Chuang E, Vahdat L, et al. Efficacy of scalp cooling in preventing chemotherapy-induced alopecia in breast cancer patients receiving adjuvant docetaxel and cyclophosphamide chemotherapy. Clin Breast Cancer. 2015;15:332–4.

    Article  CAS  Google Scholar 

  18. Massey CS. A multicentre study to determine the efficacy and patient acceptability of the Paxman Scalp Cooler to prevent hair loss in patients receiving chemotherapy. Eur J Oncol Nurs. 2004;8:121–30.

    Article  Google Scholar 

  19. Dignicap (2020) Dignicap - Refrigeração do couro cabeludo. In: Editor (ed)^(eds) Book Dignicap - Refrigeração do couro cabeludo, City.

  20. Giarratano T, Frezzini S, Zanocco M, Giorgi CA, Mioranza E, Miglietta F, et al. Use of scalp cooling device to prevent alopecia for early breast cancer patients receiving chemotherapy: a prospective study. Breast J. 2019.

  21. Penguin (2020) Penguin Cold Caps - how it works. In: Editor (ed)^(eds) Book Penguin Cold Caps - how it works, City.

  22. Bordignon JS, Rocha BD, Prevedello BP, Beck EQ, Castro P, Smeha LN, et al. Hipoglicemia neonatal: Revisão Integrativa. Disciplinarum Scientia. 2018;19:639–349.

    Google Scholar 

  23. Mendes KDD, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para incorporação de evidências na saúde e na enfermagem. Texto e contexto enferm. 2008;17:758–64.

    Article  Google Scholar 

  24. Melnyk BM, Foneout-Overholt E. Making the case for evidence-based practice. Lippincot Williams & Wilkins: Evidence-based practice in nursing & healthcare A guide to best practice. Philadelphia; 2005. p. 3–24.

    Google Scholar 

  25. Smetanay K, Junio P, Feißt M, Seitz J, Hassel JC, Mayer L, et al. COOLHAIR: a prospective randomized trial to investigate the efficacy and tolerability of scalp cooling in patients undergoing (neo)adjuvant chemotherapy for early breast cancer. Breast Cancer Res Treat. 2018;173:135–43.

    Article  Google Scholar 

  26. Choi EK, Kim I-R, Chang O, Kang D, Nam S-J, Lee JE, et al. Impact of chemotherapy-induced alopecia distress on body image, psychosocial well-being, and depression in breast cancer patients. Psycho-Oncology. 2014;23:1103–10.

    Article  Google Scholar 

  27. Shaw J, Baylock B, O’Reilly A, Winstanley J, Pugliano L, Andrews K, et al. Scalp cooling: a qualitative study to assess the perceptions and experiences of Australian patients with breast cancer. Support Care Cancer. 2016;24:3813–20.

    Article  Google Scholar 

  28. Komen MMC, Smorenburg CH, Hurk CJG, Nortier JWR. Factors influencing the effectiveness of scalp cooling in the prevention of chemotherapy-induced alopecia. Oncologist. 2013;18:885–91.

    Article  Google Scholar 

  29. Komen MMC, Smorenburg CH, Nortier JWR, van der Ploeg T, van den Hurk CJG, van der Hoeven JJM. Results of scalp cooling during anthracycline containing chemotherapy depend on scalp skin temperature. Breast. 2016;30:105–10.

    Article  CAS  Google Scholar 

  30. Komen MMC, van den Hurk CJG, Nortier JWR, van der Ploeg T, Nieboer P, van der Hoeven JJM, et al. Prolonging the duration of post-infusion scalp cooling in the prevention of anthracycline-induced alopecia: a randomised trial in patients with breast cancer treated with adjuvant chemotherapy. Support Care Cancer. 2018;27:1919–25.

    Article  Google Scholar 

  31. Komen MMC, van den Hurk CJG, Nortier JWR, van der Ploeg T, Smorenburg CH, van der Hoeven JJM. Patient-reported outcome assessment and objective evaluation of chemotherapy-induced alopecia. Eur J Oncol Nurs. 2018;33:49–55.

    Article  Google Scholar 

  32. Komen MMC, Breed WPM, Smorenburg CH, van der Ploeg T, Goey SH, van der Hoeven JJM, et al. Results of 20- versus 45-min post-infusion scalp cooling time in the prevention of docetaxel-induced alopecia. Support Care Cancer. 2016;24:2735–41.

    Article  Google Scholar 

  33. Rice BA, Ver Hoeve ES, DeLuca AN, Esserman LJ, Rugo HS, Melisko ME. Registry study to assess hair loss prevention with the Penguin Cold Cap in breast cancer patients receiving chemotherapy. Breast Cancer Res Treat. 2017;167:117–22.

    Article  Google Scholar 

  34. Chabner BA, Longo DL. Manual de Oncologia de HARRISON. Editora AMGH - Porto Alegre, 2015.

  35. Nangia J, Wang T, Osborne C, Niravath P, Otte K, Papish S, et al. Effect of a scalp cooling device on alopecia in women undergoing chemotherapy for breast cancer. Jama. 2017;317:596–605.

    Article  Google Scholar 

  36. Vasconcelos I, Wiesske A, Schoenegg W. Scalp cooling successfully prevents alopecia in breast cancer patients undergoing anthracycline/taxane-based chemotherapy. Breast. 2018;40:1–3.

    Article  Google Scholar 

  37. Chan A, Bauwens A, Pontre S, Jackson S, McGlone F, Ernenwein T, et al. Efficacy of scalp cooling in reducing alopecia in early breast cancer patients receiving contemporary chemotherapy regimens. Breast. 2018;41:127–32.

    Article  Google Scholar 

  38. Rossi A, Fortuna MC, Caro G, Pranteda G, Garelli V, Pompili U, et al. Chemotherapy-induced alopecia management: clinical experience and practical advice. J Cosmet Dermatol. 2017;16:537–41.

    Article  Google Scholar 

  39. Lunardi G, Venturini M, Vannozzi MO, Tolino G, Del Mastro L, Bighin C, et al. Influence of alternate sequences of epirubicin and docetaxel on the pharmacokinetic behaviour of both drugs in advanced breast cancer. Ann Oncol. 2002;13:280–5.

    Article  CAS  Google Scholar 

  40. Venturini M, Lunardi G, Del Mastro L, Vannozzi MO, Tolino G, Numico G, et al. Sequence effect of epirubicin and paclitaxel treatment on pharmacokinetics and toxicity. J Clin Oncol. 2000;18:2116–25.

    Article  CAS  Google Scholar 

  41. Danesi R, Innocenti F, Fogli S, Gennari A, Baldini E, Di Paolo A, et al. Pharmacokinetics and pharmacodynamics of combination chemotherapy with paclitaxel and epirubicin in breast cancer patients. Br J Clin Pharmacol. 2002;53:508–18.

    Article  CAS  Google Scholar 

  42. Marks DH, Okhovat J-P, Hagigeorges D, Manatis-Lornell AJ, Isakoff SJ, Lacouture ME, et al. The effect of scalp cooling on CIA-related quality of life in breast cancer patients: a systematic review. Breast Cancer Res Treat. 2019;175:267–76.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Contributions

All authors equally contributed to the study concept and design. Wiethan, G. A. had the idea for the article. The literature search, data analysis, and critically revision of the work were performed by Wiethan, G. A., Sari, M. H. M., and Ferreira, L. M. The first draft of the manuscript was written by Wiethan, G. A. and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Luana Mota Ferreira.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflicts of interest.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Medicine

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wiethan, G.Á., Sari, M.H.M. & Ferreira, L.M. Scalp Cooling Impact in Alopecia of Patients Under Treatment for Breast Cancer—Literature Review. SN Compr. Clin. Med. 2, 2825–2833 (2020). https://doi.org/10.1007/s42399-020-00653-x

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s42399-020-00653-x

Keywords

Navigation