In spite of many remarkable advances in our understanding of the mechanisms
of cancer biology, very little attention has been directed toward mechanis
ms underlying cancer-induced symptoms. Although fatigue is a widely prevale
nt complication of cancer, there is a paucity of both basic and clinical re
search in this area. This article details our current knowledge of mechanis
ms causing cancer-related fatigue and briefly discusses currently available
therapeutic options. A framework for addressing gaps in our knowledge and
recommendations for future research directions are proposed. (C) 2001 Ameri
can Cancer Society.