Cognitive Dysfunction in Non-CNS Metastatic Cancer: Comparing Brain Metastasis, Non-CNS Metastasis, and Healthy Controls

Cancer Invest. 2024 Sep;42(8):671-681. doi: 10.1080/07357907.2024.2371368. Epub 2024 Jul 15.

Abstract

Limited research has compared cognition of people with non-central nervous system metastatic cancer (NCM) vs. metastatic brain cancer (BM). This prospective cross-sectional study was comprised 37 healthy controls (HC), 40 NCM, and 61 BM completing 10 neuropsychological tests. The NCM performed below HCs on processing speed and executive functioning tasks, while the BM group demonstrated lower performance across tests. Tasks of processing speed, verbal fluency, and verbal memory differentiated the clinical groups (BM < NCM). Nearly 20% of the NCM group was impaired on at least three neuropsychological tests whereas approximately 40% of the BM group demonstrated the same level of impairment.

Keywords: Cognition; brain metastasis; cancer; metastases; neuropsychology.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Brain Neoplasms* / psychology
  • Brain Neoplasms* / secondary
  • Case-Control Studies
  • Cognitive Dysfunction* / etiology
  • Cross-Sectional Studies
  • Executive Function
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neuropsychological Tests*
  • Prospective Studies