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Cancer Treatment

Cancer treatment is the process of using various options involving surgery, radiation, medications and other therapies to cure cancer, shrink cancer or stop the progression of cancer. There are many cancer treatments. The doctor will decide on your treatment depending on your particular situation, you may receive one treatment, or you may receive a combination of treatments.

Why Do You Need Cancer Treatment

Cancer treatment aims to achieve a cure for your cancer, enabling you to live an average life span. This may or may not be possible, depending on what type, size, location or how far cancer has proceeded. If a cure isn't possible, the doctor will provide you with cancer treatments to shrink your cancer or inhibit the growth of your cancer to allow you to live symptom-free for as long as possible.

Cancer treatments are of various types:

  • Primary treatment. A primary treatment aims to thoroughly remove cancer from your body or eradicate all the cancer cells.Any cancer treatment can be used as a primary treatment, but usually, the most common primary cancer treatment is surgery. The doctor will determine if your cancer is particularly sensitive to radiation therapy or chemotherapy, you may receive one of those therapies as your primary treatment.
  • Adjuvant treatment. Adjuvant therapy aims to kill any cancer cells that may have left behind after primary treatment in order to diminish the chances that cancer will recur. Any cancer treatment can be utilized as adjuvant therapy. Standard adjuvant therapies are chemotherapy, radiation therapy and hormone therapy.Neo-adjuvant therapy is equivalent to adjuvant therapy, but treatments are used before the primary treatment in order to make the primary treatment easier or more effective.
  • Palliative treatment. Palliative treatments are used by the oncologists to help relieve the side effects of treatment or signs and symptoms caused by cancer itself. Surgery, radiation, chemotherapy and hormone therapy can all be used to mitigate symptoms. Other medications may alleviate symptoms such as pain and shortness of breath.To cure your cancer, palliative treatment can be used at the same time as other treatments.

What you can expect From Cancer Treatments

Your oncologist will determine your treatment options depending on several factors, such as the type and stage of your cancer, your general health, and your preferences. Together you and your doctor can talk about the benefits and risk of each cancer treatments to decide which one will be preferable for you.

Cancer treatment options include:

  • Surgery: The aim of surgery is to remove or extract cancer or as much cancer as possible. The surgeon may also remove the adjoining areas or tissues surrounding the cancer cells.
  • Chemotherapy: Chemotherapy is a medication used to kill cancer cells.
  • Radiation therapy: Radiation therapy uses intensive-powered energy beams, such as X-rays or protons, to kill cancer cells. A machine outside your body (external beam radiation), or inside your body (brachytherapy) can be the source of your radiation treatment.
  • Bone marrow transplant: The bone marrow is the material inside the bones that makes blood cells from blood stem cells. The doctor can recommend a bone marrow transplant, also known as a stem cell transplant, to use your own bone marrow stem cells or those from a donor. The bone transplant is used to replace diseased bone marrow. The doctor can also use higher doses of chemotherapy to treat your cancer.
  • Immunotherapy: Immunotherapy, is also referred to as biological therapy. It uses your body's immune system to fight cancer. Cancer can hide behind the body's cells and thus can survive unchecked in your body because the immune system doesn't recognize it as an intruder. Immunotherapy supports your immune system to "see" cancer and attack it.
  • Hormone therapy: Some cancers are caused due to body's hormones. If these hormones are removed, or their effects are blocked, then the cancer cells can stop growing.
  • Targeted drug therapy: Targeted drug treatment is a cancer treatment that focuses on specific abnormalities within cancer cells that allow them to survive. It uses drugs to target specific genes and proteins that are concerned with the growth and survival of cancer cells.
  • Cryoablation: Cryoablation is a process that kills cancer cells with cold. Cryoablation is performed using a thin, wandlike needle (cryoprobe) which is inserted through your skin and directly into the cancerous tumour. In order to freeze the tissue, gas is pumped into the cryoprobe. Then the tissue is let to thaw. During the same treatment session, the freezing and thawing process is repeated several times in order to kill the cancer cells.
  • Radiofrequency ablation: This cancer treatment, also called rhizotomy, uses electrical energy to heat cancer cells, which results in their death. A doctor guides a thin needle, during radiofrequency ablation, through the skin or through an incision and into the cancer tissue. Nearby cells are killed by heating the surrounding tissue where high-frequency energy is passed through the needle. It is a nonsurgical, minimally invasive procedure, where radiofrequency waves ablate, or "burn," the nerve that is causing the pain.

FAQ about Cancer Treatment

Q: What is Cancer?

Cancer is a disease in which abnormal cells multiply rapidly and destroy body tissue. Cancer usually has the ability to spread throughout your body.

Q: Should you be afraid of Cancer?

Cancer has been proclaimed as the second-leading cause of death in the world. But you shouldn't worry about Cancer because survival rates are improving for many types of cancer, thanks to improvements in cancer screening and cancer treatment.

Q: What are the chances of surviving Cancer?

According to studies, most commonly diagnosed cancers have ten-year survival of 50% or more. In fact, more than 80% of people diagnosed with cancer types which are easier to diagnose and survive their Cancer.

Q: What is metastasis?

Your doctor may call it a metastatic, which means that Cancer has spread to a different body part from where it started, invading healthy tissues there which can seriously be life-threatening

Q: What are the various stages of Cancer?

Most cancers involving a tumour are staged in five broad groups. These are generally referred to with Roman numerals. Other types of cancers, like blood cancers, lymphoma, and brain cancer, have their own staging systems. All the stages denote how advanced your cancer is.

  • Stage 0 means that there's no cancer, but shows the presence of abnormal cells which have the potential to become Cancer. This is referred to as carcinoma in situ.
  • Stage I means that Cancer is small and only in one area. This is also known as early-stage Cancer.
  • Stage II and III means that the cancer is large and has grown into nearby tissues or lymph nodes.
  • Stage IV means that cancer has spread to other parts of your body. It's also known as advanced or metastatic cancer.

Q. How does the Doctor Determine your Cancer Stage?

The Doctor will perform a physical exam and several tests to determine your clinical stage -- an estimate of how far the cancer has spread. Blood tests, other lab tests and imaging scans are used. Those may include X-rays or any of the following:

 

  • Magnetic resonance imaging (MRI): Powerful magnets and radio waves are used to make complete and thorough images of the affected area.
  • Computerized tomography (CT) scan: Several X-rays are taken from different angles and put together to show elaborate information.
  • Ultrasound: High-frequency sound waves are utilised to generate images of the inside of your body.
  • The Doctor also may perform a biopsy, in which a small piece of tissue is taken and looked at under a microscope.

The Doctor may learn more about the Cancer and how it's affected your body if a tumour is removed with surgery. This information is used to determine the pathologic stage or surgical stage, and it is usually more accurate.

Q: What are the advantages of staging in Cancer?

Staging aids the health care providers and researchers exchange information about patients. It is also useful in defining the extent to which the cancer cells have spread in the body. The Doctor can also determine what treatment options to use for treating Cancer.

Q. What are the types of Cancer?

Cancers are usually named for the area in which they start and the type of cell they are made of, even if they spread to other parts of the body. For example, cancer that begins in the breast and spreads to the lungs is still called breast cancer. There are also different clinical terms used for certain general types of Cancer:

  • Carcinoma is cancer that begins in the skin or the tissues that line other organs.
  • Sarcoma is a cancer of connective tissues such as muscles, bones, cartilage, and blood vessels.
  • Leukaemia is a cancer that begins in bone marrow, which creates blood cells.
  • Myeloma and lymphoma are cancers of the immune system.

Q: What Causes Cancer?

Damaged genes can cause Cancer. However, exposure to a Cancer-causing substance called as carcinogens also cause Cancer. Various factors such as environmental agents, viral or genetic factors may be the cause of Cancer. In the majority of cancer cases, we cannot attribute the disease to a single cause.

We can roughly classify cancer risk factors into the following groups:

  • Biological or internal factors, such as gender, age, inherited genetic defects and skin type
  • Environmental exposure, such as radon and UV radiation, and fine particulate matter
  • Occupational risk factors, such as carcinogens and many chemicals, radioactive materials and asbestos
  • Lifestyle-related factors.

Q: What Type of Cancer Specialists Do You Need?

There are three ways to treat Cancer: with medicine (such as targeted therapy, Chemotherapy, immunotherapy, and hormone therapy), with surgery, and with radiation.

  • Medical oncologist: You will have to meet the medical oncologists more frequently. Your medical oncologists will oversee your general care and coordinate treatments with other specialists. Your oncologist will also oversee your Chemotherapy, hormone therapy, targeted therapy and immunotherapy. You are more likely to visit your medical oncologist for long-term, regular checkups.
  • Radiation oncologist: This cancer specialist will treat your Cancer with radiation therapy.
  • Surgical oncologist: Surgical oncologists have special training in treating Cancer. Your surgical oncologist will help you diagnose Cancer with a biopsy. Surgical oncologists also treat Cancer by extracting tumours or other cancerous tissue.

Depending on your case, you probably may need to see other types of doctors for special cancer care.

Q: What are the Symptoms of Cancer?

  • Any persistent lump or swelling
  • Fatigue
  • Lump or thickening of the area felt under the skin
  • Changes in bowel or bladder habits
  • Persistent cough or trouble breathing
  • Difficulty swallowing
  • Hoarseness
  • Weigh changes, Persistent indigestion or discomfort after eating
  • Persistent, unexplained muscle or joint pain
  • Persistent, unexplained fevers or night sweats
  • Unexplained bleeding or bruising.

Q: What is the goal of cancer treatment?

The treatment aims to kill as many cancerous cells and minimize the damage to normal cells. Cancer treatment is the process of using various options involving surgery, radiation, medications and other therapies to cure Cancer, shrink Cancer or stop the progression of Cancer. There are many cancer treatments. The Doctor will decide on your treatment depending on your particular situation, you may receive one treatment, or you may receive a combination of treatments.

Q. Why Do You Need Cancer Treatment

Cancer treatment aims to achieve a cure for your Cancer, enabling you to live an average life span. This may or may not be possible, depending on what type, size, location or how far Cancer has proceeded. If a cure isn't possible, the Doctor will provide you with cancer treatments to shrink your Cancer or inhibit the growth of your Cancer to allow you to live symptom-free for as long as possible.

Q. What are the Various Types of Cancer Treatments?

Cancer treatments are of various types:

  • Primary treatment. A primary treatment aims to thoroughly remove Cancer from your body or eradicate all the cancer cells. Any cancer treatment can be used as a primary treatment, but usually, the most common primary cancer treatment is surgery. The Doctor will determine if your Cancer is particularly sensitive to radiation therapy or Chemotherapy, you may receive one of those therapies as your primary treatment.
  • Adjuvant treatment. Adjuvant therapy aims to kill any cancer cells that may have left behind after primary treatment in order to diminish the chances that Cancer will recur. Any cancer treatment can be utilized as adjuvant therapy. Standard adjuvant therapies are Chemotherapy, radiation therapy and hormone therapy. Neo-adjuvant therapy is equivalent to adjuvant therapy, but treatments are used before the primary treatment in order to make the primary treatment easier or more effective.
  • Palliative treatment. Palliative treatments are used by the oncologists to help relieve the side effects of treatment or signs and symptoms caused by Cancer itself. Surgery, radiation, Chemotherapy and hormone therapy can all be used to mitigate symptoms. Other medications may alleviate symptoms such as pain and shortness of breath. To cure your Cancer, palliative treatment can be used at the same time as other treatments.

Q. What you can expect From Cancer Treatments

Your oncologist will determine your treatment options depending on several factors, such as the type and stage of your cancer, your general health, and your preferences. Together you and your doctor can talk about the benefits and risk of each cancer treatments to decide which one will be preferable for you.

Q. How Useful is Surgery for Cancer Treatment?

The aim of surgery is to remove or extract Cancer or as much Cancer as possible. The surgeon may also remove the adjoining areas or tissues surrounding the cancer cells.

Q. What is Chemotherapy?

Chemotherapy is a medication used to kill cancer cells.

Q: Who Gets Chemotherapy as a Treatment?

Doctors usually don't prescribe chemo lightly, or any other systemic therapy for that matter. Doctors weigh all the options beforehand, usually by taking into account the medical history and current patient condition. The overall physical condition and health of the patient is a big factor in deciding chemo as a treatment because it is very hard on the body.

Q: How chemotherapy drugs are given?

Chemotherapy drugs can be given in several ways, including:

  • Chemotherapy infusions
  • Chemotherapy pills
  • Chemotherapy shots
  • Chemotherapy creams
  • Chemotherapy drugs can be given directly to treat one area of the body.
  • Chemotherapy is given directly to Cancer.

Q. How often you receive chemotherapy treatments?

Your Doctor will determine should you receive chemotherapy treatments. It will be based on what drugs you'll receive, the characteristics of your Cancer and how well your body responds after each treatment. Thus, a Chemotherapy treatment schedule varies for each patient. Sometimes chemotherapy treatment can be continuous, or it may alternate between the course of treatment and periods of rest to let you recover.

Q. Where do you receive chemotherapy treatments?

Chemotherapy treatments can be given:

  • In an outpatient chemotherapy unit
  • In a doctor's office
  • In the hospital
  • At home, when taking chemotherapy pills

Q. What is Radiation Therapy?

Radiation therapy uses intensive-powered energy beams, such as X-rays or protons, to kill cancer cells. A machine outside your body (external beam radiation), or inside your body (brachytherapy) can be the source of your radiation treatment.

Q: Is Radiation treatment painful?

Radiation therapy isn't really painful, but some of the side effects it causes can be.

Q: Do you lose your hair when you have Chemotherapy/radiation?

Radiation and Chemotherapy will generally cause hair loss to the body part that is being treated. However, your hair will usually grow back after the end of your treatment. But it will depend on your treatment, whether it grows back to its original thickness and fullness.

Q: How long does a session of radiation therapy last?

Each treatment session approximately last for 10 to 30 minutes

Q: How frequently are radiation therapies given?

Typically, people have radiation therapy treatment sessions five times per week. This schedule can continue for 3 to 9 weeks. The radiation therapy targets only the tumour, and there may be a 2-day pause in treatment each week to allow your body to repair the damage.

Q: Can I Work during chemotherapy/radiotherapy treatment?

The answer depends on various factors, including:

  • what type, stage and severity of Cancer you have
  • what side effects you may experience
  • your overall health
  • the type of work you do

Talk to your Doctor and get inputs from him whether to continue work or not.

Q. What is Bone Marrow Transplant?

The bone marrow is the material inside the bones that makes blood cells from blood stem cells. The Doctor can recommend a bone marrow transplant, also known as a stem cell transplant, to use your own bone marrow stem cells or those from a donor. The bone transplant is used to replace diseased bone marrow. The Doctor can also use higher doses of chemotherapy to treat your Cancer.

Q. What is Immunotherapy?

Immunotherapy is also referred to as biological therapy. It uses your body's immune system to fight Cancer. Cancer can hide behind the body's cells and thus can survive unchecked in your body because the immune system doesn't recognize it as an intruder. Immunotherapy supports your immune system to "see" Cancer and attack it.

Q. What is Hormone therapy?

Some cancers are caused due to body's hormones. If these hormones are removed, or their effects are blocked, then the cancer cells can stop growing.

Q. What is Targeted drug therapy?

Targeted drug treatment is a cancer treatment that focuses on specific abnormalities within cancer cells that allow them to survive. It uses drugs to target specific genes and proteins that are concerned with the growth and survival of cancer cells.

Q. What is Cryoablation?

Cryoablation is a process that kills cancer cells with cold. Cryoablation is performed using a thin, wandlike needle (cryoprobe) which is inserted through your skin and directly into the cancerous tumour. In order to freeze the tissue, gas is pumped into the cryoprobe. Then the tissue is let to thaw. During the same treatment session, the freezing and thawing process is repeated several times in order to kill the cancer cells.

Q. What is Radiofrequency ablation?

This cancer treatment, also called rhizotomy, uses electrical energy to heat cancer cells, which results in their death. A doctor guides a thin needle, during radiofrequency ablation, through the skin or through an incision and into the cancer tissue. Nearby cells are killed by heating the surrounding tissue where high-frequency energy is passed through the needle. It is a nonsurgical, minimally invasive procedure, where radiofrequency waves ablate, or "burn," the nerve that is causing the pain.

Q: What are the side effects of treatment?

The common side effects are:

  • Anaemia
  • Appetite Loss
  • Bleeding and Bruising (Thrombocytopenia)
  • Constipation
  • Delirium
  • Diarrhoea
  • Edema (Swelling)
  • Fatigue
  • Fertility Issues in Boys and Men
  • Fertility Issues in Girls and Women
  • Flu-Like Symptoms
  • Hair Loss (Alopecia)
  • Infection and Neutropenia
  • Lymphedema
  • Memory or Concentration Problems
  • Mouth and Throat Problems
  • Nausea and Vomiting
  • Nerve Problems (Peripheral Neuropathy)
  • Immunotherapy and Organ-Related Inflammation
  • Pain
  • Sexual Health Issues in Men
  • Sexual Health Issues in Women
  • Skin and Nail Changes
  • Sleep Problems and Insomnia
  • Urinary and Bladder Problems

Q. How severe are the side effects of cancer treatment?

Well, there are side effects due to cancer treatments. But some patients do not experience them at all. It will all depend on the type and amount of Chemotherapy you get and how your body reacts. The Doctor may suggest you tip on how to prevent them or lessen them.

Q: What is the Outcome after cancer treatment?

The prognosis or outcome for cancer patients may range from very good to poor. In estimating a cancer patient's prognosis, doctors consider the characteristics of the patient's disease, the available treatment options, type of Cancer, stage of the Cancer, and any health problems the patient may have that could influence the course of the disease or its capacity to be treated successfully. As the staging numbers increases, the outcome worsens and the survival rate decreases.

Q: How can Cancer Be Prevented?

  • Don't use tobacco
  • Maintain Healthy Weight
  • Exercise Regularly
  • Reduce exposure to sunlight
  • Avoid risky behaviours such as practice safe sex
  • Get Vaccinated
  • Go for regular screenings

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