6 JULY 2017
Many are given chemotherapy before surgery, but the new research suggests that, although it shrinks tumours in the short term, it could trigger the spread of cancer cells around the body.
It is thought the toxic medication switches on a repair mechanism in the body which ultimately allows tumours to grow back stronger. It also increases the number of ‘doorways’ on blood vessels which allow cancer to spread throughout the body.
An image showing ‘doorways’ opening in blood vessels which allow tumours to spread
Dr George Karagiannis, of the Albert Einstein College of Medicine of Yeshiva University, New York, found the number of doorways was increased in 20 patients receiving two common chemotherapy drugs.
He also discovered that in mice, breast cancer chemotherapy increased the number of cancer cells circulating the body and in the lungs.
Dr Karagiannis said women could be monitored during chemotherapy to check if cancer was starting to circulate and doorways were emerging.
“One approach would be to obtain a small amount of tumour tissue after a few doses of preoperative chemotherapy,” he said.
“If we observe that the markers scores are increased we would recommend discontinuing chemo and having surgery first, followed by post-operative chemo. We are currently planning more extensive trials to address the issue.
“In this study we only investigated chemotherapy-induced cancer cell dissemination in breast cancer. We are currently working on other types of cancer to see if similar effects are elicited.”
The study was published in the journal Science Translational Medicine.
Timeline Cancer breakthroughs
A history of discoveries that have brought us closer to curing cancer
Radiotherapy first used to treat cervical cancer.
First link made between sun and skin cancer.
Proof of a link between smoking and lung cancer first published.
First chemotherapy drug, methotrexate, used to treat a rare tumor called choriocarcinoma.
Discovery of the first human cancer virus.
First drug for testicular cancer developed, now 95 per cent of men with it survive.
The first ‘monoclonal antibody’ or targeted therapy approved by the Federal Drug Administration (later examples include Herceptin for breast cancer and Avastin for colorectal, lung and othercancers).
The first breast cancer genes BRAC-1 and BRAC-2 discovered.
The cervical cancer vaccine immunisation programme begins in the UK.
Trials show ‘flexi-scope’ screening could prevent a third of bowel cancers.
International Cancer Genome Consortium formed to map the genetic faults behind 50 types of cancer.
Trial finds taking the drug anastrazole daily could halve the risk of breast cancer in high risk older women.
Scientists build nanoparticles that act as ‘Trojan Horse’ vessels that ferry chemotherapy drugs direct to cancers. Two breast cancer drugs are shown to shrink or eliminate tumours in 11 days. Professor Swanton’s research shows how our own immune cells can be used to cure ‘hopeless case’ secondary or metastasised cancers.