Treatment FAQ

what happened after the radiation treatment for liver cancer

by Adrienne Schiller Published 2 years ago Updated 2 years ago

A more serious side effect of radiation therapy to the liver is radiation-induced liver disease (RILD). It commonly happens 3 to 4 months after treatment and usually only lasts a set time, but can be fatal in some instances.

Possible side effects of radiation therapy for liver cancer
Skin changes in areas getting radiation, ranging from redness to blistering and peeling. Nausea and vomiting. Fatigue. Diarrhea.
Apr 1, 2019

Full Answer

What happens if you get radiation for liver cancer?

Radiation therapy for liver cancer. Typically, radiation oncologists expand the treatment area to ensure the moving target is irradiated. In the process, healthy tissue in or near the liver may be affected, leading to a high risk of liver damage, stomach ulcer or other side effects.

How does Radiation Therapy treat liver tumors?

Newer radiation techniques, such as stereotactic body radiation therapy (SBRT), help doctors target liver tumors while reducing the radiation to nearby healthy tissues. This makes it more effective and reduces side effects.

How long does radiotherapy take to work for liver cancer?

Radiation is usually given over a course of few days. External beam radiation cannot be given on high doses as liver cancer is sensitive to radiation and the normal tissue might get damaged in the process.

Where does the radiation for liver cancer come from?

The radiation comes from a large machine outside your body. The machine aims invisible beams (X-rays or other types of radiation) through your skin to the tumor (s). The problem with this treatment is that even normal liver cells are very sensitive to radiation.

What is the success rate of radiation therapy for liver cancer?

The 1-, 2-, and 3-year survival rates of the radiotherapy group were 51.6%, 28.4%, and 19.9%, respectively; the survival rates of the surgery group were 40.1%, 17.0% and 13.6%, respectively (43). Lim et al. treated 45 HCC patients with portal vein tumor emboli with 3DCRT from 38 to 65 Gy in fractions.

What is the next treatment after radiation therapy?

Most patients return to their radiation oncologist for regular follow-up visits. Others are referred back to their primary care doctor, to a surgeon, or to a medical oncologist—a doctor who is trained to give chemotherapy (treatment with anticancer drugs).

How long can you live after radiation therapy?

Median follow-up time for this report was 41 months (range=14.6-59.0). Following treatment with stereotactic radiation, more than eight in ten patients (84%) survived at least 1 year, and four in ten (43%) survived 5 years or longer. The median overall survival (OS) time was 42.3 months.

What happens when radiation treatments end?

They're usually gone within a few weeks after treatment ends. The most common early side effects are fatigue (feeling tired) and skin changes. Other early side effects usually are related to the area being treated, such as hair loss and mouth problems when radiation treatment is given to this area.

How long after radiation do you know if it worked?

Radiation therapy usually does not have an immediate effect, and it could take days, weeks or months to see any change in the cancer. The cancer cells may keep dying for weeks or months after the end of treatment. It may be some time before you know whether the radiation therapy has controlled the cancer.

What should I avoid after radiation?

Avoid raw vegetables and fruits, and other hard, dry foods such as chips or pretzels. It's also best to avoid salty, spicy or acidic foods if you are experiencing these symptoms. Your care team can recommend nutrient-based oral care solutions if you are experiencing mucositis or mouth sores caused by cancer treatment.

What is the success rate of radiation therapy?

“When patients are treated with modern external-beam radiation therapy, the overall cure rate was 93.3% with a metastasis-free survival rate at 5 years of 96.9%.

Is 6 weeks of radiation a lot?

Treatments are usually given five days a week for six to seven weeks. If the goal of treatment is palliative (to control symptoms) treatment will last 2-3 weeks in length. Using many small doses (fractions) for daily radiation, rather than a few large doses, helps to protect the healthy cells in the treatment area.

Do you ever recover from radiation?

Even though most radiation treatments only target specific collections of cancer cells, the effects of radiation can easily spread to nearby cells. Most recover within a few weeks, but some injuries develop later or require a longer recovery process.

Do tumors grow back after radiation?

Normal cells close to the cancer can also become damaged by radiation, but most recover and go back to working normally. If radiotherapy doesn't kill all of the cancer cells, they will regrow at some point in the future.

What are 5 effects of radiation?

Radiation Effects on HumansDose (rem)Effects5-20Possible late effects; possible chromosomal damage.20-100Temporary reduction in white blood cells.100-200Mild radiation sickness within a few hours: vomiting, diarrhea, fatigue; reduction in resistance to infection.4 more rows

What are the worst side effects of radiotherapy?

Treatment areas and possible side effectsPart of the body being treatedPossible side effectsBrainFatigue Hair loss Memory or concentration problems Nausea and vomiting Skin changes Headache Blurry visionBreastFatigue Hair loss Skin changes Swelling (edema) Tenderness5 more rows•Jan 11, 2022

What is radiation therapy?

Radiation therapy is the kind of treatment that uses high energy rays to kill cancer cells. There are different types of radiation that can be used and the side effects differ according to the kind of radiation used.

Can you give radiation to liver cancer?

Radiation is usually given over a course of few days. External beam radiation cannot be given on high doses as liver cancer is sensitive to radiation and the normal tissue might get damaged in the process.

Why does the liver move during radiation?

The liver may move during radiation treatment because of breathing and normal movement in the intestines. Typically, radiation oncologists expand the treatment area to ensure the moving target is irradiated. In the process, healthy tissue in or near the liver may be affected, leading to a high risk of liver damage, ...

What are some examples of radiation therapy for liver cancer?

Examples of radiation therapies used to treat liver cancer include: Calypso® 4D Localization System™ may allow a radiation therapist to better target the liver while sparing surrounding tissue from damage. The liver may move during radiation treatment because of breathing and normal movement in the intestines.

What is IMRT in radiation?

Compared to standard radiotherapy, IMRT allows a radiation oncologist to use higher radiation doses than traditional therapies would allow in these areas. At the same time, IMRT helps to spare more of the surrounding healthy liver tissue from harmful doses of radiation.

How does TomoTherapy work?

TomoTherapy® may offer the following advantage for liver cancer patients: 1 It uses built-in CT scanning to confirm the exact shape and location of a liver tumor seconds before treatment begins. 2 It is designed to target hard-to-reach liver tumors by sculpting small, powerful and precise radiation beams at the tumors from a full 360 degrees. 3 It may lessen treatment-related side effects by reducing damage to nearby healthy tissue. 4 It may avoid radiation exposure to muscle tissue, the spine, lungs and other sensitive organs.

What is the best treatment for liver cancer?

Radiation therapy for liver cancer. Radiation treatment for liver cancer requires accuracy and precision. With advanced radiation therapy delivery systems, our radiation oncologists are better able to target difficult-to-reach tumors in the liver.

Does Calypso help with cancer?

By targeting cancer cells and avoiding nearby healthy tissues, Calypso helps spare the bladder, colon and other critical structures. Common side effects of liver cancer radiation therapy, such as risk of liver damage, may be reduced using Calypso technology.

Does Cyberknife help with liver cancer?

It may avoid radiation exposure to muscle tissue, the spine, lungs and other sensitive organs. CyberKnife® robotic radiosurgery for liver cancer allows doctors to confirm the location of the liver tumor and continually track its movement , in real time, ...

How does radiation work on liver cancer?

The radiation comes from a large machine outside your body. The machine aims invisible beams (X-rays or other types of radiation) through your skin to the tumor (s). The problem with this treatment is that even normal liver cells are very sensitive to radiation. This can cause side effects. Newer forms of radiation therapy can better focus the radiation precisely at the tumor, limiting damage to normal tissues. An example is stereotactic body radiation therapy (SBRT), which is also called radiosurgery.

How long does radiation therapy last?

You can usually get external radiation therapy as an outpatient in a hospital or a clinic. Some types of external radiation are given 5 days a week for several weeks. Stereotactic radiosurgery might be done with fewer treatments using a higher radiation dose (often in about 5-10 treatments).

What is the technique used to stop blood supply from cancer cells?

Radioembolization. For this technique, radioactive material (often on tiny beads) is put right into the cancer. The beads help stop the blood supply feeding the tumor and also carry a high dose of radiation right to the cancer cells.

How long does it take to get a radiation treatment?

On the days you get radiation treatment, you’ll lie on a table while the machine moves over you. You may have to wear a hospital gown. Treatment is a lot like getting an X-ray, but it takes longer. It can take about 15 to 30 minutes to complete. But the radiation treatment itself only takes a few minutes. Much of the time is spent getting you ready. You should plan on being there for about an hour.

What is the name of the doctor who treats cancer?

A doctor who specializes in giving external radiation to treat cancer is called a radiation oncologist. This doctor works with you to figure out the kind of radiation you need. This doctor also figures out the dose and how long you need the therapy.

What are the side effects of radiation?

These are some of the more common short-term side effects: Diarrhea. Nausea. Extreme tiredness that doesn't get better with rest (fatigue) Skin over the treatment field gets red, irritated, blisters, peels, or changes color (This reaction can be like a bad sunburn.) The liver is very sensitive to radiation.

When is radiation therapy used?

Radiation might be used if: The cancer has spread beyond your liver to other parts of your body, like your brain or bones.

External radiation therapy

During external radiation therapy (also called external beam radiation therapy), a machine directs radiation through the skin to the tumour and some of the tissue around it.

Internal radiation therapy

Internal radiation therapy places radioactive materials in the body. Larger doses of radiation can be given with internal radiation therapy than with external radiation therapy.

Side effects

Side effects can happen with any type of treatment for liver cancer, but everyone's experience is different. Some people have many side effects. Other people have only a few side effects.

Questions to ask about radiation therapy

Find out more about radiation therapy and side effects of radiation therapy. To make the decisions that are right for you, ask your healthcare team questions about radiation therapy .

What is it called when liver cancer comes back?

Cancer that comes back after treatment is called recurrent. Recurrence can be local (in or near the same place it started) or distant (spread to organs such as the lungs or bone). Treatment of liver cancer that returns after initial therapy depends on many factors, including where it comes back, the type of initial treatment, ...

Why is radiation important for cancer patients?

Treatments such as radiation might also be used to help relieve pain and other symptoms. Please be sure to discuss any symptoms you have with your cancer team, so they can treat them effectively.

What is the treatment for a hepatic artery tumor?

Other options may include targeted therapy, immunotherapy , chemotherapy (ei ther systemic or by hepatic artery infusion), and/or radiation therapy. For some of these cancers, treatment may shrink the tumor (s) enough so that surgery (partial hepatectomy or transplant) may become possible.

What is the treatment for cancer?

If the cancer is widespread, targeted therapy, immunotherapy , or chemotherapy drugs may be options. Patients may also wish to ask their doctor whether a clinical trial may be right for them. Treatment can also be given to relieve pain and other side effects.

What are the factors that affect the outcome of liver surgery?

Important factors that may influence the outcome are the size of the tumor (s) and if nearby blood vessels are affected. Larger tumors or those that invade blood vessels are more likely to come back in the liver or spread elsewhere after surgery. How well your liver is working and your general health are also important.

What are the stages of liver cancer?

Although the AJCC (TNM) staging system (see Liver Cancer Stages) is often used to describe the spread of a liver cancer, doctors use a more practical system to determine treatment options. Liver cancers are often categorized as: 1 Potentially resectable or transplantable cancer 2 Unresectable (inoperable) cancer that has not spread 3 Advanced cancer

Can liver cancer be treated with surgery?

Because these cancers are widespread, they cannot be treated with surgery.

How long does radiation treatment last?

What Happens During Radiation. The treatment is normally Monday through Friday and lasts about 45 minutes. A lot of time is spent getting your body in the right position, so the radiation hits its desired locations. You lay down on a custom-molded table. A technician positions your body using lasers and measurements.

How long does it take for radiation to hit your body?

This may seem scary, but this ensures the radiation does not hit healthy areas. The radiation takes a couple of minutes. You can sense when the radiation hits your body if you receive radiation to your brain.

Does radiation cause hair loss?

Radiation to your brain causes hair loss, but over time it grows back. As your hair grows again, so will you. Remember, during and after radiation treatment, listen to your body, ask questions, acknowledge side effects and adjust.

How does radiation help cancer?

When radiation is combined with surgery, it can be given: 1 Before surgery, to shrink the size of the cancer so it can be removed by surgery and be less likely to return. 2 During surgery, so that it goes straight to the cancer without passing through the skin. Radiation therapy used this way is called intraoperative radiation. With this technique, doctors can more easily protect nearby normal tissues from radiation. 3 After surgery to kill any cancer cells that remain.

Why do people with cancer need radiation?

Why People with Cancer Receive Radiation Therapy. Radiation therapy is used to treat cancer and ease cancer symptoms . When used to treat cancer, radiation therapy can cure cancer, prevent it from returning, or stop or slow its growth. When treatments are used to ease symptoms, they are known as palliative treatments.

What is intraoperative radiation therapy?

During surgery, so that it goes straight to the cancer without passing through the skin. Radiation therapy used this way is called intraoperative radiation.

What is brachytherapy with liquid source?

Learn more about brachytherapy. Internal radiation therapy with a liquid source is called systemic therapy. Systemic means that the treatment travels in the blood to tissues throughout your body, seeking out and killing cancer cells.

What is the best radiation treatment for thyroid cancer?

A systemic radiation therapy called radioactive iodine, or I-131, is most often used to treat certain types of thyroid cancer.

What is the treatment for cancer that has spread to the bone called?

Pain from cancer that has spread to the bone can be treated with systemic radiation therapy drugs called radiopharmaceuticals.

What is external beam radiation therapy?

External Beam Radiation Therapy. External beam radiation therapy comes from a machine that aims radiation at your cancer. The machine is large and may be noisy. It does not touch you, but can move around you, sending radiation to a part of your body from many directions.

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