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- Presentation
Updates in Hair Disorders in Cancer Patients and Survivors
Description
This session discusses the various hair disorders encountered by cancer patients and survivors, emphasizing the significant impact of chemotherapy-induced alopecia (CIA) and persistent CIA (PCIA). Current estimates suggest that approximately 30% of cancer survivors experience some form of hair condition, highlighting the need for better management strategies. The presentation outlines the challenges of treating breast cancer and acknowledges that many patients may refuse chemotherapy due to the fear of hair loss. Scalp cooling systems have emerged as a preventive measure, showing up to a 60% success rate in preserving hair during chemotherapy. Financial support options for these treatments are discussed, including CPT codes and philanthropic organizations. For those who experience PCIA, the importance of distinguishing it from other types of hair loss, such as androgeneric alopecia, is stressed. Treatment options include minoxidil, with caution advised for patients who have received cardiotoxic chemotherapy. The session also touches upon hair loss associated with targeted therapies and immunotherapies, underscoring the importance of recognizing and managing these conditions. The talk concludes by reminding healthcare providers to address hair loss proactively, as effective management can significantly enhance patients' quality of life.
View moreConclusions
- Approximately 30% of cancer survivors may experience persistent hair disorders after treatment.
- Chemotherapy-induced alopecia (CIA) is a significant concern for patients undergoing treatment, leading some to refuse curative chemotherapy due to the risk of hair loss.
- Scalp cooling systems can effectively reduce hair loss during taxane-based chemotherapy, with over 60% of patients retaining more than 50% of their hair.
- The use of scalp cooling is recommended in NCCN guidelines for patients receiving specific chemotherapies to mitigate hair loss.
- Oral and topical minoxidil are effective treatments for persistent chemotherapy-induced alopecia and other hair disorders in cancer patients.
- 5-alpha reductase inhibitors like finasteride and dutasteride are not recommended for breast cancer patients due to potential risks.
- Endocrine therapy can also lead to hair loss, which may be managed similarly to chemotherapy-induced alopecia.
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