Weekly Health Update:
Chemotherapy for Breast Cancer & Memory Loss
"A critical weekly review of important new research findings for health-conscious readers..."
By, Robert A. Wascher, MD, FACS
The information in this column is intended for informational purposes only, and does not constitute medical advice or recommendations by the author. Please consult with your physician before making any lifestyle or medication changes, or if you have any other concerns regarding your health.
Welcome to Weekly Health Update
“A critical weekly review of important new research findings for health-conscious readers”
CHEMOTHERAPY FOR BREAST CANCER & MEMORY LOSS
“Chemo Brain” is a term often used by breast cancer patients to describe the decreased memory, and other cognitive dysfunctions, associated with chemotherapy for this common form of cancer. However, there has been very little prospective, objective clinical research into this phenomenon. Furthermore, what little research that has been done in this area, to date, has primarily focused upon subjective self-assessments, by breast cancer patients, of their own level of cognitive function following chemotherapy. Moreover, until recently, the complaints of breast cancer patients regarding their self-perceived memory loss following chemotherapy were often dismissed by many physicians.
Now, a newly published prospective clinical research study from the M.D. Anderson Cancer Center suggests that physicians may have vastly underestimated the frequency, severity, and duration of cognitive dysfunction following standard breast cancer chemotherapy. This clinical study, which appears in the current issue of the journal Cancer, prospectively enrolled 42 women with newly diagnosed breast cancer. All of these women then underwent standardized neuropsychological evaluation before, during, and after chemotherapy. Importantly, this study not only tested these breast cancer patients in the early period after they completed their chemotherapy, but also one year after their chemotherapy had ended. The findings from this small study strikingly illustrate just how common, and how enduring, memory loss and other forms of cognitive dysfunction are following chemotherapy for breast cancer.
Prior to beginning chemotherapy, 21 percent of these patients had some detectable degree of cognitive dysfunction. By the end of their chemotherapy treatments, a whopping 65 percent of these 42 patients displayed measurable declines in memory function, organizational ability, and cognitive processing speed. One year later, 61 percent of these women continued to display measurable declines in cognitive function. Worse yet, among this group of women with persistent cognitive dysfunction one year after completion of their chemotherapy, 71 percent continued to display progressively worsening of cognitive function when compared to their level of function immediately after finishing chemotherapy. Finally, the remaining 29 percent of this group of women with long-term evidence of cognitive dysfunction actually displayed a delayed-onset of cognitive decline when they were tested one year after chemotherapy (i.e., when compared to the results of their neuropsychological testing immediately after chemotherapy).
The findings of this study should spur additional research into the precise cause(s) of this chemotherapy-associated impairment in cognitive function, as well as strategies to reduce the severity and duration of these adverse health effects following chemotherapy for breast cancer. Meanwhile, it is important for me to stress that chemotherapy unquestionably extends survival, and saves lives, among women who are appropriately advised to undergo such treatment for breast cancer. In my opinion, no patient should read this column, and then go on to refuse chemotherapy that has been appropriately recommended because of the findings of this clinical research study.
To learn more about the prevention, screening, diagnosis and treatment of breast cancer, look for the publication of my new landmark evidence-based book, “ A Cancer Prevention Guide for the Human Race,” in the summer of this year.
I and the staff of Weekly Health Update would again like to take this opportunity to thank the nearly 120,000 new and returning readers who visited our premier global health information website last month. As always, we enjoy receiving your stimulating feedback and questions, and I will continue to try and personally answer as many of your inquiries as I possibly can.
Disclaimer: As always, my advice to readers is to seek the advice of your physicianbeforemaking any significant changes in medications, diet, or level of physical activity
Dr. Wascher is an oncologic surgeon, professor of surgery, cancer researcher, oncology consultant, and a widely published author
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Robert A. Wascher, MD, FACS
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Dr. Wascher's Archives:
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3-28-2010: Aspirin & Breast Cancer Survival
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11-15-2009: Breast Cancer Treatment & Chronic Pain
1-8-2009: Vitamin D & Breast Cancer Risk
11-1-2009: Exercise & Prostate Cancer Risk
10-25-2009: HPV Virus & Risk of Breast Cancer
10-11-2009: Vitamin D & Falls in the Elderly
10-4-2009: Surgery, NSQIP, Complications & Death
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9-13-2009: H1N1 Swine Flu Update
9-7-2009: Green Tea, Aging & Lifespan
8-30-2009: Irritable Bowel Syndrome (IBS), Diet & Fiber
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8-2-2009: Honesty, Dishonesty & Brain Function
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7-5-2009: Prostate Cancer & Green Tea
6-21-2009: Red Yeast Rice, Statins & Cholesterol
6-7-2009: Diet, Soy & Breast Cancer Risk
5-31-2009: Diet and Prostate Cancer Risk
5-24-2009: Diabetes, Glucose Control & Death
5-10-2009: Hemorrhoids & Surgery
4-26-2009: Are We Really Losing the War on Cancer?
4-19-2009: Exercise in Middle Age & Risk of Death
4-12-2009: Can Chronic Stress Harm Your Heart?
3-22-2009: CABG Surgery vs. PCI in Diabetics with Coronary Artery Disease; Sweetened Beverages and Coronary Artery Disease
3-15-2009: Depression, Stress, Anger & Heart Disease
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1-4-2009: Secondhand Smoke & Heart Attack Risk; Poor Physical Fitness During Childhood & Heart Disease Risk During Adulthood
12-21-2008: Breast Cancer Incidence & Hormone Replacement Therapy; Circumcision & the Risk of HPV & HIV Infection
12-14-2008: Vitamin E, Vitamin C and Selenium Do Not Prevent Cancer; Postscript: A Possible Cure for Down’s Syndrome
11-30-2008: A Possible Cure for Down’s Syndrome?; Smoking & Cognitive Decline; Calcium & Vitamin D & Breast Cancer Risk
11-23-2008: Breast Cancer & Fish Oil; Lymphedema after Breast Cancer Treatment; Vasectomy & Prostate Cancer Risk
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11-2-2008: Radiation Treatment of Prostate Cancer & Second Cancers; Sexual Content on TV & Teen Pregnancy Risk
10-26-2008: Smoking & Quality of Life
10-19-2008: Agent Orange & Prostate Cancer
10-12-2008: Pomegranate Juice & Prostate Cancer
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