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Scalp Cooling: A Patient's Experience.

Lynn Weatherby¹, Lynne Brophy¹

¹The Ohio State University Comprehensive Cancer Center Arthur G. James Cancer Hospital and Richard J. Solove Research Institute.

Journal of the Advanced Practitioner in Oncology

|September 21, 2019

Summary

This summary is machine-generated.

Scalp cooling with a cold cap and dry ice helped a patient retain nearly all her hair during chemotherapy for ovarian cancer. This case study shows a potential method to prevent chemotherapy-induced alopecia.

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Area of Science:

Oncology
Dermatology
Patient Care

Background:

Chemotherapy often causes significant hair loss (alopecia), impacting patient quality of life.
Patient preference for preserving hair during cancer treatment is a recognized concern.
Scalp cooling is an emerging technique to mitigate chemotherapy-induced alopecia.

Purpose of the Study:

To present a case study on the efficacy of scalp cooling in preventing alopecia.
To document the patient's experience and adherence to a specific scalp cooling protocol.

Main Methods:

A 23-year-old female with stage 2A ovarian cancer received paclitaxel and carboplatin chemotherapy.
The patient utilized a manual cold cap system with dry ice, applied before, during, and after each chemotherapy infusion.
A family member served as the 'capper,' managing cap and ice replacement every 20-30 minutes.

Main Results:

The patient retained approximately 95% of her hair after 6 cycles of chemotherapy.
The patient reported minimal hair loss, estimating only a 5% reduction.
The treatment involved a monthly rental fee for the cap and weekly costs for dry ice, alongside indirect costs like a caregiver missing work.

Conclusions:

Manual scalp cooling with dry ice may be an effective method for preventing chemotherapy-induced alopecia.
This case highlights the feasibility and patient-reported success of a home-managed cold cap system.
Further research is warranted to establish standardized protocols and cost-effectiveness for scalp cooling therapies.