Treatment FAQ

what does chemotherapy treatment do to cancer cells

by Eloy Lang Published 2 years ago Updated 2 years ago
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What does chemotherapy do?

  • Cure: In some cases, the treatment can destroy cancer cells to the point that your doctor can no longer detect them in...
  • Control: In some cases, it may only be able to keep cancer from spreading to other parts of your body or slow the growth...
  • Ease symptoms: In some cases, chemotherapy can’t cure or control the spread of cancer and is simply...

Chemotherapy damages the genes inside the nucleus of cells. Some drugs damage cells at the point of splitting. Some damage the cells while they're making copies of all their genes before they split. Chemotherapy is much less likely to damage cells that are at rest, such as most normal cells.

Full Answer

How does chemotherapy kill the cancerous cells?

Anthracycline chemotherapy attacks the enzymes inside cancer cells' DNA that help them divide and grow . They work for many types of cancer. Some of these drugs are actinomycin-D, bleomycin, daunorubicin, and doxorubicin, among others. High doses of anti-tumor antibiotics can damage your heart or lungs.

Does chemotherapy really cure cancer?

So does it cure cancer? In some cases the answer is yes. In several types of Hodgkin's and non-Hodgkin's lymphoma, chemotherapy is delivered with the intent to rid the body of cancer and bring about a cure. This is true for some subtypes of leukemia as well, and to a lesser degree other cancers with solid tumors.

How do chemotherapy medicines target cancer cells?

Types of chemo drugs

  • Alkylating agents. Alkylating agents keep the cell from reproducing (making copies of itself) by damaging its DNA. ...
  • Antimetabolites. ...
  • Anti-tumor antibiotics. ...
  • Topoisomerase inhibitors. ...
  • Mitotic inhibitors. ...
  • Corticosteroids. ...
  • Other chemotherapy drugs. ...

Does chemo kill cancer cells?

Chemo is considered a systemic treatment because the drugs travels throughout the body, and can kill cancer cells that have spread (metastasized) to parts of the body far away from the original (primary) tumor. This makes it different from treatments like surgery and radiation.

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Why is chemotherapy effective in treating cancer cells?

Chemotherapy is a drug treatment that uses powerful chemicals to kill fast-growing cells in your body. Chemotherapy is most often used to treat cancer, since cancer cells grow and multiply much more quickly than most cells in the body.

What do cancer treatments do to cells?

Chemotherapy uses drugs to kill cancer cells. Radiation therapy. Radiation therapy uses high-powered energy beams, such as X-rays or protons, to kill cancer cells. Radiation treatment can come from a machine outside your body (external beam radiation), or it can be placed inside your body (brachytherapy).

What happens in chemotherapy?

How does chemotherapy work? It targets cells that grow and divide quickly, as cancer cells do. Unlike radiation or surgery, which target specific areas, chemo can work throughout your body. But it can also affect some fast-growing healthy cells, like those of the skin, hair, intestines, and bone marrow.

What stops cancer cells from growing?

Histone deacetylase inhibitors are also called HDAC inhibitors or HDIs. They block the action of a group of enzymes that remove chemicals called acetyl groups from particular proteins. This can stop the cancer cell from using some genes that would help it to grow and divide. This might kill the cancer cell completely.

Why does cancer grow after chemotherapy?

Cancer may sometimes come back after cancer drug treatment or radiotherapy. This can happen because the treatment didn't destroy all the cancer cells. Chemotherapy drugs kill cancer cells by attacking cells that are in the process of doubling to form 2 new cells.

What happens to a tumor during chemotherapy?

Usually, cancer drugs work by damaging the RNA or DNA that tells the cell how to copy itself in division. If the cancer cells are unable to divide, they die. The faster that cancer cells divide, the more likely it is that chemotherapy will kill the cells, causing the tumor to shrink.

What happens to cells killed by chemotherapy?

Chemotherapy kills cells that are in the process of splitting into 2 new cells. Body tissues are made of billions of individual cells. Once we are fully grown, most of the body's cells don't divide and multiply much. They only divide if they need to repair damage.

What are the signs that chemo is working?

Complete response - all of the cancer or tumor disappears; there is no evidence of disease. A tumor marker (if applicable) may fall within the normal range. Partial response - the cancer has shrunk by a percentage but disease remains. A tumor marker (if applicable) may have fallen but evidence of disease remains.

What is chemo used for?

More often, chemo is used with surgery or radiation therapy or both. And it's sometimes used with other drugs, such as targeted therapy, hormone therapy, or immunotherapy. For example, chemo may be used... To shrink a tumor before surgery or radiation therapy. Chemo used in this way is called neoadjuvant therapy.

Why do people need chemo?

When the cancer is at an advanced stage, probably cannot be controlled, and has spread, the goal of giving chemo may be to improve the quality of life or help the person feel better. For instance, chemo may be used to help shrink a tumor that’s causing pain or pressure so the patient feels better and has less pain.

How often is chemo given?

Chemotherapy is commonly given at regular intervals called cycles. A cycle may be a dose of one or more drugs on one or more days, followed by several days or weeks without treatment. This gives normal cells time to recover from drug side effects. Sometimes, doses may be given a certain number of days in a row, or every other day for several days, followed by a period of rest. Some drugs work best when given continuously over a set number of days.

What is the term for the use of drugs to treat cancer?

Chemotherapy refers to the use of any drug to treat any disease. But to most people, the word chemotherapy ( or "chemo") means drugs used for cancer treatment. It's important to know that not all medicines and drugs to treat cancer work the same way. It used to be that the only kind of drug that could treat cancer was traditional or standard chemo, ...

What is the term for the process of shrinking a tumor?

To shrink a tumor before surgery or radiation therapy. Chemo used in this way is called neoadjuvant therapy . After surgery or radiation therapy to help kill any remaining cancer cells in the body. Chemo used in this way is called adjuvant therapy.

What is radiation therapy?

Surgery removes a tumor from a part of the body where cancer has been found, and radiation therapy is aimed at a certain area of the body to kill or damage cancer cells. Treatments like these are called local treatments because they affect one part of the body.

Can chemo help with cancer?

In these cases, chemo is used to shrink tumors and/or stop the cancer from growing and spreading. This can help the person with cancer feel better and live longer.

Why is chemotherapy used?

To prepare you for other treatments. Chemotherapy can be used to shrink a tumor so that other treatments, such as radiation and surgery, are possible. Doctors call this neoadjuvant therapy. To ease signs and symptoms. Chemotherapy may help relieve signs and symptoms of cancer by killing some of the cancer cells.

What is the purpose of chemotherapy?

After other treatments, to kill hidden cancer cells. Chemotherapy can be used after other treatments, such as surgery, to kill any cancer cells that might remain in the body. Doctors call this adjuvant therapy. To prepare you for other treatments. Chemotherapy can be used to shrink a tumor so that other treatments, such as radiation and surgery, ...

Why is chemo used for bone marrow transplant?

Chemotherapy is often used to prepare for a bone marrow transplant. Immune system disorders. Lower doses of chemotherapy drugs can help control an overactive immune system in certain diseases, such as lupus and rheumatoid arthritis.

What is the best treatment for skin cancer?

Chemotherapy creams. Creams or gels containing chemotherapy drugs can be applied to the skin to treat certain types of skin cancer. Chemotherapy drugs used to treat one area of the body. Chemotherapy drugs can be given directly to one area of the body.

How is chemotherapy given?

Chemotherapy is most often given as an infusion into a vein (intravenously). The drugs can be given by inserting a tube with a needle into a vein in your arm or into a device in a vein in your chest.

What is the treatment for cancer?

Overview. Chemotherapy is a drug treatment that uses powerful chemicals to kill fast-growing cells in your body. Chemotherapy is most often used to treat cancer, since cancer cells grow and multiply much more quickly than most cells in the body. Many different chemotherapy drugs are available.

What doctor do you see during chemotherapy?

You'll meet with your cancer doctor (oncologist) regularly during chemotherapy treatment. Your oncologist will ask about any side effects you're experiencing, since many can be controlled. Depending on your situation, you may also undergo scans and other tests to monitor your cancer during chemotherapy treatment.

How does chemo work?

The cell cycle goes from the resting phase, through active growing phases, and then to mitosis (division). The ability of chemotherapy to kill cancer cells depends on its ability to halt cell division. Usually, cancer drugs work by damaging ...

What is the term for chemo that kills cancer cells?

Chemotherapy drugs that kill cancer cells when they are at rest are called cell-cycle non-specific. The scheduling of chemotherapy is set based on the type of cells, rate at which they divide, and the time at which a given drug is likely to be effective. This is why chemotherapy is typically given in cycles.

What is the mechanism of cell division in cancer?

"Normal" cells stop dividing when they come into contact with like cells, a mechanism known as contact inhibition. Cancerous cells lose this ability.

What are the cells that are most affected by chemotherapy?

The "normal" cells most commonly affected by chemotherapy are the blood cells, the cells in the mouth, stomach and bowel, and the hair follicles; resulting in low blood counts, mouth sores, nausea, diarrhea, and/or hair loss. Different drugs may affect different parts of the body. Chemotherapy (anti-neoplastic drugs) is divided ...

How many classes of drugs are there in chemo?

Chemotherapy (anti-neoplastic drugs) is divided into five classes based on how they work to kill cancer. Although these drugs are divided into groups, there is some overlap among some of the specific drugs.

Does chemotherapy kill cancer cells?

They also induce cell suicide (self-death or apoptosis). Chemotherapy drugs that kill cancer cells only when they are dividing are called cell-cycle specific.

Is chemotherapy given in cycles?

This is why chemotherapy is typically given in cycles. Chemotherapy is most effective at killing cells that are rapidly dividing. Unfortunately, chemotherapy does not know the difference between cancer cells and the normal cells. The "normal" cells will grow back and be healthy but in the meantime, side effects occur.

How does chemo work?

How does chemotherapy work? Tumor cells, which make up cancer, grow and reproduce (multiply) very quickly. Normal, healthy cells know to stop reproducing and growing when they touch other cells. Cancer cells keep growing, not knowing when to stop. RNA and DNA in the cell tell it how to grow and reproduce.

What is the treatment for cancer?

Your treatment may include more than one type of therapy (surgery, radiation, chemo, etc.). Common terms used to describe chemotherapy treatments: Adjuvant Therapy: chemotherapy given after surgery to reduce the chance of your cancer coming back (recurrence). Neo-adjuvant Therapy: chemotherapy given before surgery to shrink the tumor.

How often can you give chemo?

They may be given in “divided doses” or given multiple times. For example, once a day for 5 days, or every 3 hours for 4 doses. They can also be given as a nonstop infusion. This is an infusion that runs for several hours or more. Some chemotherapy infusions are given over several days.

Why is radiation called local therapy?

Surgery and radiation are called “local” therapies because they treat only a certain part of the body. Chemotherapy can be given to a patient in a number of ways: Orally (by mouth, in pill form).

How to cure cancer?

Curing the cancer. Stopping the cancer from going to other parts of the body. Slowing the growth of the cancer. Killing cancer cells in areas of metastases ( other parts of the body that the cancer has spread to). Ease symptoms that the cancer is causing to make you more comfortable (palliative).

What is the cell cycle?

The cell cycle is the way a cell copies itself to make more cells. This happens in phases: Resting phase (GO; nothing is happening). G1 phase (gap 1; a growth phase). S phase (synthesis; the copying of DNA happens). G2 phase (gap 2; one more growth phase). M phase (mitosis; the division from 1 cell into 2).

Does chemo work if the tumor is lower?

Tumor markers are made by the tumor or by the body due to a tumor. If the level is lower, most likely the chemotherapy is working. Checking Symptoms: If the symptoms caused by your cancer are getting better, then likely chemotherapy is working. You will be closely followed while getting chemotherapy.

How does chemotherapy work?

In general, chemotherapy medications work by attacking cells, or by preventing cells from growing and dividing . Cancer cells tend to grow and divide rapidly and uncontrollably.

What is the goal of chemo?

The goal of chemotherapy depends on the type of cancer, its location, and a person’s unique circumstances. Based on the specific goal, there are three main categories of chemotherapy treatment: Curative: The therapy attempts to destroy all cancer cells, so that a person is cancer-free.

What is the treatment for cancer that can't be eliminated?

Palliative: If the cancer cells can’t be eliminated, treatment may focus on relieving symptoms or slowing cancer growth. Chemotherapy is often just one part of a larger treatment plan. It may be given with other treatments like radiation, surgery, or other medications.

What are the side effects of chemotherapy?

Here are five common side effects and why they occur. 1. Anemia. Red blood cells provide your body with oxygen from the lungs. If chemotherapy harms red blood cells and lowers red blood cell counts, anemia occurs.

What are the cells that are affected by chemo?

Here are some of the main types of healthy cells that chemotherapy impacts: red blood cells, white blood cells, and platelets. hair cells. cells that make up the mucus membranes of the mouth, throat, and digestive system. The damage that chemotherapy causes ...

Why is it important to take care of your body during chemotherapy?

It’s important for people getting chemotherapy to take steps to avoid getting sick. Wash your hands regularly, avoid crowded places, and stay away from people who may be sick.

Does chemotherapy kill cancer cells?

Chemotherapy treatments can’t differentiate between cancer cells and healthy cells. That’s why chemotherapy harms or kills healthy cells, as well as cancer cells. Many common side effects of chemotherapy are caused by the treatment’s impact on healthy cells. These side effects include anemia, a weakened immune system, hair loss, and nausea.

What happens if you get radiation therapy?

If you receive radiation therapy to large areas of your body and especially to the large bones that contain the most bone marrow, such as your pelvis, legs and torso, you might experience low levels of red and white blood cells. Cancers of the blood and bone marrow.

Does chemo damage bone marrow?

Certain chemotherapy drugs can damage your bone marrow — the spongy material found in your bones. Your bone marrow makes blood cells, which grow rapidly, making them very sensitive to the effects of chemotherapy. Chemotherapy kills many of the cells in your bone marrow, but the cells recover with time. Your doctor can tell you whether your specific ...

How does targeted therapy help cancer?

Most types of targeted therapy help treat cancer by interfering with specific proteins that help tumors grow and spread throughout the body. They treat cancer in many ways. They can: Help the immune system destroy cancer cells. One reason that cancer cells thrive is because they can hide from your immune system.

Why do cancer cells have changes in their surface?

But, some cancer cells have changes in the proteins on their surface that tell them to divide whether or not signals are present. Some targeted therapies interfere with these proteins, preventing them from telling the cells to divide.

What happens when monoclonal antibodies are combined with toxins?

Some monoclonal antibodies are combined with toxins, chemotherapy drugs, and radiation. Once these monoclonal antibodies attach to targets on the surface of cancer cells, the cells take up the cell-killing substances, causing them to die. Cells that don’t have the target will not be harmed. Cause cancer cell death.

What is the purpose of monoclonal antibodies?

Small-molecule drugs are small enough to enter cells easily, so they are used for targets that are inside cells. Monoclonal antibodies, also known as therapeutic antibodies, are proteins produced in the lab. These proteins are designed to attach to specific targets found on cancer cells. Some monoclonal antibodies mark cancer cells ...

Why do monoclonal antibodies work?

Other monoclonal antibodies directly stop cancer cells from growing or cause them to self-destruct.

How does targeted therapy affect people?

Targeted therapy affects people in different ways. How you feel depends on how healthy you are before treatment, your type of cancer, how advanced it is, the kind of targeted therapy you are getting, and the dose. Doctors and nurses cannot know for certain how you will feel during treatment.

What is targeted therapy?

Targeted therapy is the foundation of precision medicine. It is a type of cancer treatment that targets proteins that control how cancer cells grow, divide, and spread. As researchers learn more about the DNA changes and proteins that drive cancer, they are better able to design promising treatments that target these proteins.

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Overview

  • Chemotherapy is a drug treatment that uses powerful chemicals to kill fast-growing cells in your body. Chemotherapy is most often used to treat cancer, since cancer cells grow and multiply much more quickly than most cells in the body. Many different chemotherapy drugs are available. Chemotherapy drugs can be used alone or in combination to treat a...
See more on mayoclinic.org

Why It's Done

  • Chemotherapy is used to kill cancer cells in people with cancer. There are a variety of settings in which chemotherapy may be used in people with cancer: 1. To cure the cancer without other treatments.Chemotherapy can be used as the primary or sole treatment for cancer. 2. After other treatments, to kill hidden cancer cells.Chemotherapy can be used after other treatments, such a…
See more on mayoclinic.org

Risks

  • Side effects of chemotherapy drugs can be significant. Each drug has different side effects, and not every drug causes every side effect. Ask your doctor about the side effects of the particular drugs you'll receive.
See more on mayoclinic.org

How You Prepare

  • How you prepare for chemotherapy depends on which drugs you'll receive and how they'll be administered. Your doctor will give you specific instructions to prepare for your chemotherapy treatments. You may need to: 1. Have a device surgically inserted before intravenous chemotherapy.If you'll be receiving your chemotherapy intravenously — into a vein — your docto…
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What You Can Expect

  • Determining which chemotherapy drugs you'll receive
    Your doctor chooses which chemotherapy drugs you'll receive based on several factors, including: 1. Type of cancer 2. Stage of cancer 3. Overall health 4. Previous cancer treatments 5. Your goals and preferences Discuss your treatment options with your doctor. Together you can decide what…
  • How chemotherapy drugs are given
    Chemotherapy drugs can be given in different ways, including: 1. Chemotherapy infusions.Chemotherapy is most often given as an infusion into a vein (intravenously). The drugs can be given by inserting a tube with a needle into a vein in your arm or into a device in a vein in …
See more on mayoclinic.org

Results

  • You'll meet with your cancer doctor (oncologist) regularly during chemotherapy treatment. Your oncologist will ask about any side effects you're experiencing, since many can be controlled. Depending on your situation, you may also undergo scans and other tests to monitor your cancer during chemotherapy treatment. These tests can give your doctor an idea of how your cancer is …
See more on mayoclinic.org

Clinical Trials

  • Explore Mayo Clinic studiesof tests and procedures to help prevent, detect, treat or manage conditions.
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