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ABSTRACT: Late effects of adjuvant chemotherapy on cognitive function:
a follow-up study in breast cancer patients
Background: Neuropsychological examinations have shown an elevated risk for
cognitive impairment 2 years after therapy in breast cancer patients
randomized to receive adjuvant high-dose cyclophosphamide, thiotepa,
carboplatin (CTC) chemotherapy compared with a non-treated control
group of stage I breast cancer patients.
Patients randomized
to receive standard-dose fluorouracil, epirubicin, cyclophosphamide
(FEC) chemotherapy showed no elevated risk compared with controls.
However, breast cancer patients treated with conventional cyclophosphamide,
methotrexate, 5-fluorouracil (CMF) chemotherapy showed a higher
risk of cognitive impairment.
The present study was designed
to obtain a greater insight into these long-term neuropsychological
sequelae following chemotherapy and their course in time.
Conclusions: The results suggest that cognitive dysfunction following adjuvant
chemotherapy in breast cancer patients may be transient.
Additional
studies are needed to investigate the differential attrition
of patients with cognitive impairment.
[08/28/2002; Annals of Oncology]
Ann's NOTE: Sorry we are unable to get the complete paper, more information to come.
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