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Psychological Issues Related to Site of Cancer 

Psychological Issues Related to Site of Cancer
Source:
Psycho-Oncology (3 ed.)

Central nervous system (CNS) tumors, whether of primary or metastatic origin, are among the most challenging forms of cancer. Vulnerable to the many psychosocial stresses associated with cancer diagnosis and treatment, brain tumor patients in particular (often, if not always) face progressive compromise of peripheral neurological function, subtle and overt cognitive dysfunction, and widely variable changes of mood and affect. Treatment of CNS cancer (e.g. surgery, chemotherapy, radiation therapy) is itself actively or potentially neurotoxic. Associated loss of independence and ability to function safely and effectively at home and in the workplace often places physical, emotional, and financial hardships on patients and caregivers. The fact that many primary malignant brain tumors are associated with poor outcomes and that progression of systemic cancers into the CNS is an ominous indicator of disease trajectory makes CNS cancer especially emotionally burdensome from the time it is detected.

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