LAPSE:2023.5471
Published Article
LAPSE:2023.5471
Docetaxel for Breast Cancer Treatment-Side Effects on Ocular Surface, a Systematic Review
Elena Andreea Stoicescu, Marian Burcea, Raluca Claudia Iancu, Mirela Zivari, Alina Popa Cherecheanu, Inna Adriana Bujor, Cristina Rastoaca, George Iancu
February 23, 2023
Docetaxel is a very effective chemotherapeutic agent for the treatment of metastatic or locally advanced breast cancer. Epiphora (hyperlacrimation) has been shown to be the most common eye condition in patients receiving docetaxel-based chemotherapy. This symptom does not decrease visual acuity, but decreases the quality of life. Daily activities (reading, working on the computer, watching TV, and so on) are affected, with patients complaining about an alteration of daily life with the appearance of this symptom. The mechanism by which epiphora occurs is considered to be the canalicular stenosis, but the trials on the subject failed to reach statistical significance. The objective of this scoping review is to determine whether there is a treatment regimen-dependent relationship between docetaxel administration and the presence of epiphora in women with breast cancer. The inclusion criteria were met by 10 trials, from which one was excluded owing to data selection biases. Accordingly, nine studies were evaluated quantitatively and qualitatively in the present review. We included subjects with docetaxel as single treatment or docetaxel in combination with other chemotherapy compounds. The occurrence of epiphora among subjects treated with docetaxel, regardless of the therapeutic regimen used, was statistically significant (p = 0.005). The proportion of patients with epiphora after weekly administration of docetaxel (54 out of 131 subjects, 41.22%) was different compared with that of those who received docetaxel at three week intervals (112 out of 325 subjects, 34.15%), but the difference between the two was not statistically significant (p = 0.732). The present study demonstrates that epiphora occurs more frequently in patients receiving weekly docetaxel-based chemotherapy than those taking the three-weekly regimen, but the difference is not statistically significant. Ophthalmologic assessment of all patients starting this treatment is recommended. The causal relationship between canalicular stenosis and epiphora is not fully elucidated as long as this ocular symptom occurs in women who do not have stenosis of the lacrimal system. Further well-designed trials are required to bring new insights into the mechanisms of epiphora pathogenesis in subjects treated with docetaxel.
Keywords
breast cancer, docetaxel, epiphora, hyperlacrimation
Subject
Suggested Citation
Stoicescu EA, Burcea M, Iancu RC, Zivari M, Popa Cherecheanu A, Bujor IA, Rastoaca C, Iancu G. Docetaxel for Breast Cancer Treatment-Side Effects on Ocular Surface, a Systematic Review. (2023). LAPSE:2023.5471
Author Affiliations
Stoicescu EA: Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 37 Dinisie Lupu Street, 020021 Bucharest, Romania; Department of Ophthalmology, Emergency University Hospital, 169 Independentei Street, 050098 Bucharest, Romania
Burcea M: Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 37 Dinisie Lupu Street, 020021 Bucharest, Romania; Department of Ophthalmology, Emergency Ophtalmology Hospital, 1 Lahovari Square, 030167 Bucharest, Romania
Iancu RC: Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 37 Dinisie Lupu Street, 020021 Bucharest, Romania; Department of Ophthalmology, Emergency University Hospital, 169 Independentei Street, 050098 Bucharest, Romania
Zivari M: Department of Psychology, Emergency University Hospital, 169 Independentei Street, 050098 Bucharest, Romania
Popa Cherecheanu A: Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 37 Dinisie Lupu Street, 020021 Bucharest, Romania; Department of Ophthalmology, Emergency University Hospital, 169 Independentei Street, 050098 Bucharest, Romania
Bujor IA: Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 37 Dinisie Lupu Street, 020021 Bucharest, Romania
Rastoaca C: Department of Ophthalmology, Emergency University Hospital, 169 Independentei Street, 050098 Bucharest, Romania [ORCID]
Iancu G: Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 37 Dinisie Lupu Street, 020021 Bucharest, Romania; Filantropia Clinical Hospital of Obstetrics and Gynecology, 11-13 Ion Mihalache Bvd, 011132 Bucharest, Romania
Journal Name
Processes
Volume
9
Issue
7
First Page
1086
Year
2021
Publication Date
2021-06-23
Published Version
ISSN
2227-9717
Version Comments
Original Submission
Other Meta
PII: pr9071086, Publication Type: Review
Record Map
Published Article

LAPSE:2023.5471
This Record
External Link

doi:10.3390/pr9071086
Publisher Version
Download
Files
[Download 1v1.pdf] (722 kB)
Feb 23, 2023
Main Article
License
CC BY 4.0
Meta
Record Statistics
Record Views
66
Version History
[v1] (Original Submission)
Feb 23, 2023
 
Verified by curator on
Feb 23, 2023
This Version Number
v1
Citations
Most Recent
This Version
URL Here
https://psecommunity.org/LAPSE:2023.5471
 
Original Submitter
Auto Uploader for LAPSE
Links to Related Works
Directly Related to This Work
Publisher Version