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The New Specialty in Cancer Care
March 10, 2008 – Joanne Kenen
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March 10, 2008 – Nicole LeBrasseur, PhD
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March 10, 2008 – Betty Ferrell, PhD, RN
How Out-of-Towners Stay in the Loop
March 10, 2008 – Marc Silver
Are Minorities Benefiting From Prevention Priority?
March 10, 2008 – Jo Cavallo
Marriage and Cancer?
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On the Defensive
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Breast Cancer & Lung Cancer
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When the Ordinary Becomes the Ideal
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More Radiation in Less Time
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Letters from Our Readers
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March 10, 2008 – Elizabeth Whittington
www.cancer.gov/bcrisktool
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Breast Cancer Risk May be Overstated in BRCA Carriers
March 10, 2008 – Elizabeth Whittington
Q&A: Predicting Breast Cancer Recurrence
March 10, 2008 – Len Lichtenfeld, MD
Journeys Through Cancer: Art of Healing & Hope
March 10, 2008 – Elizabeth Whittington
Cancer on $5 a Day (*chemo not included): How Humor Got Me Through the Toughest Journey of My Life
March 10, 2008 – Kathy LaTour
Exploring the Origin of Childhood Leukemia
March 10, 2008 – Elizabeth Whittington
We Can Weekend
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Seventies Musicians Linked by Cancer
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Insurance for Clinical Trial Care a State-by-State Battle
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What to Watch For

Heart-lung complications are more likely in survivors of certain cancers—breast, lymphoma, testicular, lung—and who received certain treatments

BY Debra Wood, RN
PUBLISHED July 20, 2010

 

 

Heart-lung complications are more likely in survivors of these cancers:
>Breast cancer
> Lymphoma
> Testicular cancer
> Lung cancer

The treatments listed below have been found to sometimes be associated with the listed conditions (in many instances, these side effects are rare):
> Anthracyclines (Adriamycin/doxorubicin and Ellence/epirubicin): inflammation of heart, cardiomyopathy, heart failure
> Cytoxan (cyclophosphamide): inflammation of heart, cardiomyopathy, heart failure 
> Cisplatin: inflammation of heart, cardiomyopathy, heart failure 
> Taxanes (Taxol/paclitaxel and Taxotere/docetaxel): inflammation of heart, cardiomyopathy, heart failure
> Herceptin (trastuzumab): lung inflammation, heart failure 
> Blenoxane (bleomycin): lung scarring, inflammation, pneumonia
> Carmustine: lung scarring, inflammation, pneumonia
> Methotrexate: lung scarring, inflammation

Radiation affecting heart: 
> inflammation of the sac surrounding the heart, scarring or inflammation, valve damage, irregular heart rate, coronary artery disease

Radiation affecting lungs:
> lung scarring, pneumonitis, possibly progressive pulmonary fibrosis; late complications include right-side heart failure and respiratory failure 

Bone marrow or stem-cell transplantation: 
> interstitial pneumonitis: a group of disorders related to the sacs in the lungs where air exchange takes place; late complications include idiopathic pneumonia syndrome, injury to the sacs where air exchange takes place in the lungs; and bronchiolitis obliterans, inflammation of the bronchioles, small airways in the lung

Notify the doctor if you develop:
> Fatigue
> Shortness of breath
> Swelling of the ankles or feet

Experts do not recommend routine screening tests, beyond an annual physical exam with a blood pressure check and blood work to check cholesterol levels. 

SOURCES: American Society of Clinical Oncology “Clinical Evidence Review on the Ongoing Care of Adult Cancer Survivors: Cardiac and Pulmonary Late Effects”; Institute of Medicine, “From Cancer Patient to Cancer Survivor: Lost in Transition”

 

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