Breast Cancer Chemo May Increase Stroke Risk
Monday, October 25, 2004

NEW YORK
(Reuters Health) -In general, chemotherapy appears to increase the risk of stroke in patients with
breast cancer. However, researchers report in the October 20th issue of the
Journal of the National Cancer Institute.
This contrasts with another study published this month, which found the
opposite -- that is, slightly more strokes occurred in women who took tamoxifen
than in those who did not.
Dr. Ann M. Geiger of Kaiser Permanente Southern California, Pasadena, and
colleagues studied 179 women with breast cancer who had had a stroke; each of
these individuals was matched to two women with breast cancer who remained
stroke-free.
Tamoxifen use was not associated with having a stroke, the team found.
However, regardless of tamoxifen use, chemotherapy -- but not a specific
chemotherapeutic regimen -- more than doubled the risk of stroke.
Given these results, the researchers call for further investigation of the
possible link between stroke and chemotherapy.
"The life-saving advantages of chemotherapy for breast cancer are clear, but
in light of these findings breast cancer survivors who underwent chemotherapy
should consider steps to minimize their stroke risk, such as managing
hypertension." Geiger told Reuters Health
SOURCE: Journal of the National Cancer Institute, October 20, 2004