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Neurologic Complications of Systemic Anticancer Therapy
Kien-Ninh Ina Ly1, Isabel C Arrillaga-Romany1
1Stephen E. and Catherine Pappas Center for Neuro-Oncology, Massachusetts General Hospital, Harvard Medical School, Yawkey 9E, 55 Fruit Street, Boston, MA 02114, USA.
Systemic cancer therapies can cause neurologic complications affecting the central and peripheral nervous systems (CNS/PNS). Recognizing these adverse effects is crucial for accurate diagnosis and management in cancer survivors.
Area of Science:
- Neuro-oncology
- Cancer Therapeutics
- Neurology
Background:
- Systemic cancer therapies, including targeted therapy and immunotherapy, are increasingly associated with neurologic complications.
- The rising number of long-term cancer survivors contributes to a growing incidence of treatment-related nervous system adverse effects.
- Accurate identification of these complications is vital to prevent misdiagnosis of cancer recurrence or paraneoplastic syndromes.
Purpose of the Study:
- To review the spectrum of neurologic complications arising from systemic cancer treatments.
- To highlight the importance of recognizing treatment-related neurotoxicity.
- To discuss strategies for identifying patient-specific risk factors and developing preventive/therapeutic approaches.
Main Methods:
- Review of current literature on cancer therapy-induced neurologic complications.
- Analysis of emerging trends in targeted therapy and immunotherapy adverse effects.
- Discussion of diagnostic challenges and management strategies.
Main Results:
- Neurologic complications can manifest in the central nervous system (CNS), peripheral nervous system (PNS), or both.
- Novel cancer agents pose unique neurotoxic risks.
- Distinguishing treatment effects from disease progression or paraneoplastic phenomena is a key clinical challenge.
Conclusions:
- Neurologic complications are an increasingly significant concern in cancer care.
- Further research is needed to elucidate patient-specific risk factors for neurotoxicity.
- Developing targeted preventive and therapeutic strategies is essential for improving outcomes in cancer survivors.
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