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Neurologic complications of breast cancer

Journal

CANCER
Volume 129, Issue 4, Pages 505-520

Publisher

WILEY
DOI: 10.1002/cncr.34518

Keywords

brain neoplasms; breast cancer; breast neoplasms; central nervous system diseases; peripheral nervous system diseases; peripheral neuropathy

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Breast cancer is a heterogeneous disease that can lead to unique neurological complications. As treatment options advance, the management of neurological complications in breast cancer patients is evolving with the introduction of new drugs and treatment strategies.
Breast cancer is a heterogeneous disease with unique neurologic complications that can arise from central nervous system (CNS) involvement or secondary to treatments themselves. As progress is made, with more targeted therapies and combinations available, particularly in the realm of human epidermal growth factor receptor 2 (HER2)-positive disease, the role of these new agents in patients with CNS disease is gradually evolving, although intracranial efficacy itself is lagging. At the same time, both systemic and local standard therapies pose clinical challenges regarding neurologic complications, such as peripheral neuropathy and cognitive changes. The development of new agents, such as immunotherapy, and new strategies, such as incorporating systemic therapies into local therapy, unveil new presentations of neurological complications.

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