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Protective effect of Cavilon™ on radiodermatitis in breast cancer patients undergoing radiotherapy

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Published: 26 February 2026
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Radiodermatitis is a common problem in breast cancer treatment with ionizing radiation. It may result in interruption of radiotherapy, depending on the level of the skin lesion. Therefore, the present study aimed to evaluate the efficacy of Cavilon™ (3M, St. Paul, MN, USA), a novel prophylactic agent, in preventing mammary radiodermatitis compared to conventional sunflower oil. This prospective study involved 19 breast cancer patients receiving radiotherapy. Participants received Cavilon™ on one breast quadrant and sunflower oil on the opposite quadrant. The occurrence and severity of radiodermatitis were assessed twice weekly over 25 treatment sessions. Post-treatment assessments indicated that 16% of the Cavilon™-treated quadrants exhibited no radiodermatitis (stage 0), compared to 11% in the sunflower oil-treated quadrants. The mean degree of radiodermatitis was 0.95 (95% confidence interval [CI]: 0.61-1.29) with Cavilon™ vs. 1.37 (95% CI: 0.97-1.77) with sunflower oil, a statistically significant difference (paired t-test: p=0.016; Wilcoxon signed-rank test: p=0.021). Progression to stage 3 occurred in 5% of Cavilon™-treated quadrants vs. 11% with sunflower oil. The findings suggest that Cavilon™ is more effective than sunflower oil in mitigating the progression of radiodermatitis in breast cancer patients undergoing radiotherapy. Its application is a beneficial addition to the skin management protocol in radiation oncology.

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1. Veronesi U, Zurrida S. Preserving life and conserving the breast. Lancet Oncol 2009;10:736.
2. Schnur JB, Love B, Scheckner BL, et al. A systematic review of patient-rated measures of radiodermatitis in breast cancer radiotherapy. Am J Clin Oncol 2011;34:529-36.
3. Knobf MT, Sun Y. A longitudinal study of symptoms and self-care activities in women treated with primary radiotherapy for breast cancer. Cancer Nurs 2005;28:210-8.
4. McQuestion M. Evidence-based skin care management in radiation therapy: clinical update. Semin Oncol Nurs 2011;27:e1-17.
5. Dunne-Daly CF. Skin and Wound Care in Radiation Oncology. Cancer Nurs 1995;18:144-61.
6. Aistars J. The validity of skin care protocols followed by women with breast cancer receiving external radiation. Clin J Oncol Nurs 2006;10:487.
7. Hymes SR, Strom EA, Fife C. Radiation dermatitis: clinical presentation, pathophysiology, and treatment. J Am Acad Dermatol 2006;54:28-46.
8. Zhang Y, Zhang S, Shao X. Topical agent therapy for prevention and treatment of radiodermatitis: a meta-analysis. Support Care Cancer 2013;21:1025-31.
9. Porock D. Predicting the severity of radiation skin reactions in women with breast cancer. Oncol Nurs Forum 1998;25:1019-29.
10. Bolderston A, Lloyd NS, Wong RK, et al. Supportive Care Guidelines Group of Cancer Care Ontario Program in Evidence-Based Care. The prevention and management of acute skin reactions related to radiation therapy: a systematic review and practice guideline. Support Care Cancer 2006;14:802-17.
11. Dirier A, Akmansu M, Bora H, et al. The effect of vitamin E on acute skin reaction caused by radiotherapy Clin Exp Dermatol 2007;32:571-3.
12. Salvo N, Barnes E, Van Draanen J, et al. Prophylaxis and management of acute radiation-induced skin reactions: a systematic review of the literature. Curr Oncol 2010;17:94-112.
13. Costa MM, Silva SB, Quinto ALP, et al. Phototherapy 660 nm for the prevention of radiodermatitis in breast cancer patients receiving radiation therapy: study protocol for a randomized controlled trial. Trials 2014;15:1-6.
14. Schuren J, Becker A, Gary Sibbald R. A liquid film‐forming acrylate for peri‐wound protection: a systematic review and meta‐analysis (3M™ Cavilon™ no‐sting barrier film). Int Wound J 2005;2:230-8.
15. Simões FV, Santos VO, Silva RND, Silva RCD. Effectiveness of skin protectors and calendula officinalis for prevention and treatment of radiodermatitis: an integrative review. Rev Bras Enferm 2020;73:e20190815.
16. Shaw SZ, Nien HH, Wu CJ, et al. 3M Cavilon No-Sting Barrier Film or topical corticosteroid (mometasone furoate) for protection against radiation dermatitis: A clinical trial. J Formos Med Assoc 2015;114:407-14.
17. Graham P, Browne L, Capp A, et al. Randomized, paired comparison of No-Sting Barrier Film versus sorbolene cream (10% glycerine) skin care during post-mastectomy irradiation. Int J Radiat Oncology Biol Phys 2004;58:241-6.
18. Lam AC, Yu E, Vanwynsberghe D, et al. Phase III randomized pair comparison of a barrier film vs. standard skin care in preventing radiation dermatitis in post-lumpectomy patients with breast cancer receiving adjuvant radiation therapy. Cureus 2019;11:e4807.
19. Cox JD, Stetz J, Pajak TF. Toxicity criteria of the Radiation Therapy Oncology Group (R.T.O.G.) and the European Organization for Research and Treatment of Cancer (E.O.R.T.C.) 92-04. Int J Radiat Oncol Biol Phys 1995;31:1341-6.
20. Kodiyan J, Amber KT. Topical antioxidants in radiodermatitis: a clinical review. Inter J Palliat Nurs 2015;21:446-52.
21. Uysal B, Gamsız H, Dincoglan F, et al. Comparative evaluation of topical corticosteroid and moisturizer in the prevention of radiodermatitis in breast cancer radiotherapy. Indian J Dermatol 2020;65:279-83.
22. Shukla PN, Gairola M, Mohanti BK, et al. Prophylactic beclomethasone spray to the skin during postoperative radiotherapy of carcinoma breast: a prospective randomized study. Indian J Cancer 2006;43:180-4.
23. Schmuth M, Wimmer MA, Hofer S, et al. Topical corticosteroid therapy for acute radiation dermatitis: a prospective, randomized, double-blind study. Br J Dermatol 2002;146:983-91.

Supporting Agencies

Paula de Paula Casotti and Ulisses de Barros Ramos were supported by Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). Sérgio Gomes da Silva was supported by the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq; # 301771/2022-7) and by the Fundação de Amparo à Pesquisa do Estado de Minas Gerais [(FAPEMIG; Rede Mineira de Pesquisa Translacional em Oncologia (RED-00059-23)].

How to Cite



1.
de Paula Casotti P, Gomes da Silva S, de Barros Ramos U, Silveira BJ, dos Santos Cardoso F, Ribeiro de Oliveira AC, et al. Protective effect of Cavilon™ on radiodermatitis in breast cancer patients undergoing radiotherapy. Dermatol Reports [Internet]. 2026 Feb. 26 [cited 2026 Jun. 8];. Available from: https://journals.pagepress.net/dr/article/view/10026