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Late Effects of Chemo & Cognitive Function

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]

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