Treatment FAQ

what is strong treatment chemo or radiation therapy

by Mozell Koepp Published 3 years ago Updated 2 years ago
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Chemotherapy

Chemotherapy

Chemotherapy is a type of cancer treatment that uses one or more anti-cancer drugs as part of a standardized chemotherapy regimen. Chemotherapy may be given with a curative intent, or it may aim to prolong life or to reduce symptoms. Chemotherapy is one of the major categories of the medical discipline specifically devoted to pharmacotherapy for cancer, which is called medical oncology.

uses very strong drugs, and radiation therapy uses high energy waves to treat the disease by killing cancer cells. Radiation therapy is targeted to localized cancer i.e., specific organs in the body where cancerous tissue is present. Chemotherapy can be used when cancer cells have spread to other parts of the body.

Full Answer

What type of radiation is used to treat cancer?

Radiation therapy Radiation therapy is a type of cancer treatment that uses beams of intense energy to kill cancer cells. Radiation therapy most often uses X-rays, but protons or other types of energy also can be used. The term "radiation therapy" most often refers to external beam radiation therapy.

What is the difference between chemo and radiation therapy?

Chemotherapy vs. Radiation Therapy. There are 4 major types of treatment for cancer — radiation, chemotherapy (often called chemo), surgery and biologic therapies. Chemotherapy uses very strong drugs, and radiation therapy uses high energy waves to treat the disease by killing cancer cells.

What is chemotherapy for cancer treatment?

One of the oldest treatments for cancer is chemotherapy, in which drugs are given through an intravenous (IV) injection or orally. Chemotherapy can have effects system-wide, which means it impacts your whole body. 1 The goal of chemotherapy is to kill the cancer cells, shrink the tumor, or destroy the tumor.

What are the treatment options for cancer?

However, there are many treatment options that work to fight off cancer cells and prevent them from spreading. Chemotherapy and radiation are among the most effective treatments for most types of cancer. Although they have the same goals, there are key differences between the two types of therapy.

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Is radiotherapy as good as chemotherapy?

Chemotherapy uses anti-cancer (cytotoxic) drugs to destroy cancer cells. Radiotherapy uses high-energy rays to destroy cancer cells. The chemotherapy drugs can make cancer cells more sensitive to radiotherapy. Combining both treatments is often more effective than having either treatment on its own.

What treatment comes first chemo or radiation?

Radiation generally starts after chemotherapy is done.

Is radiation the most effective treatment for cancer?

At high doses, radiation therapy kills cancer cells or slows their growth by damaging their DNA. Cancer cells whose DNA is damaged beyond repair stop dividing or die. When the damaged cells die, they are broken down and removed by the body. Radiation therapy does not kill cancer cells right away.

At what stage of cancer is radiotherapy used?

Radiotherapy may be used in the early stages of cancer or after it has started to spread. It can be used to: try to cure the cancer completely (curative radiotherapy) make other treatments more effective – for example, it can be combined with chemotherapy or used before surgery (neo-adjuvant radiotherapy)

Which is worse chemo or radiation?

The radiation beams change the DNA makeup of the tumor, causing it to shrink or die. This type of cancer treatment has fewer side effects than chemotherapy since it only targets one area of the body.

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%.

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 percentage of cancer is treated with radiation?

Radiation therapy remains an important component of cancer treatment with approximately 50% of all cancer patients receiving radiation therapy during their course of illness; it contributes towards 40% of curative treatment for cancer.

Do tumors continue to shrink after radiation?

At the same time, if a cell doesn't divide, it also cannot grow and spread. For tumors that divide slowly, the mass may shrink over a long, extended period after radiation stops. The median time for a prostate cancer to shrink is about 18 months (some quicker, some slower).

Can cancer spread during radiotherapy?

There are preclinical and clinical reports showing that focal radiotherapy can both increase the development of distant metastasis, as well as that it can induce the regression of established metastases through the abscopal effect.

Can cancer spread during chemo and radiation?

It is possible that cancer can spread while undergoing cancer treatments like chemotherapy. Doctors use regular scans and testing to determine how your chemotherapy treatment is working. If cancer continues to spread, they may recommend changes to the treatment plan.

How many sessions of radiotherapy is normal?

Most people have 5 treatments each week (1 treatment a day from Monday to Friday, with a break at the weekend). But sometimes treatment may be given more than once a day or over the weekend.

Can you do chemo and radiation at the same time?

In the treatment called chemo-radiation, you will get both chemotherapy and radiation at the same time. Chemotherapy weakens the cancer cells which helps radiation to work better. Your treatment team consists of your medical oncologist and your radiation oncologist.

Can you have chemo and radiotherapy together?

Chemoradiotherapy means having chemotherapy and radiotherapy treatment together. Chemotherapy uses anti cancer (cytotoxic) drugs to destroy cancer cells. The drugs circulate throughout the body in the bloodstream. Radiotherapy uses radiation, usually x-rays, to destroy cancer cells.

What is first line of treatment?

THAYR-uh-pee) The first treatment given for a disease. It is often part of a standard set of treatments, such as surgery followed by chemotherapy and radiation. When used by itself, first-line therapy is the one accepted as the best treatment.

Why do you get radiation after chemo?

Radiation may be given before, during, or after chemotherapy. Before or during chemotherapy, radiation therapy can shrink the cancer so that chemotherapy works better. After chemotherapy, radiation therapy can be used to kill any cancer cells that remain.

Why is chemo used for cancer?

The drugs used in chemotherapy are often given so that they can reach and kill cancer cells system-wide, outside of the primary tumor your doctor may have discovered.

What is the goal of chemo?

The goal of chemotherapy is to kill the cancer cells, shrink the tumor, or destroy the tumor. Destroying the tumor can eliminate cancer, while shrinking it can relieve some symptoms if the tumor is causing pain or interfering with other tissues.

What Is Radiation?

Radiation is a high-energy invisible light wave. Because it has a lot of energy, it can be directed at cancer cells to damage their genetic material, ultimately killing them. 2

Why do we give radiation before surgery?

For example, chemo or radiation may be given before surgery to shrink a tumor to make it easier to remove. Or they may be given after surgery to ensure all cancer cells are removed from the body.

Why is chemo important?

So chemotherapy is an important treatment option to help kill cancer cells that may have escaped the primary tumor and spread to other parts of the body but are too small to see ; these are called micrometastases. 3

What can help with tumors?

Chemotherapy can also help treat any tumor pieces or cells left over after other treatment approaches, like surgery or radiation therapy.

Why are combination treatments used?

Combination treatments are used for many reasons. Treatments may be more effective when they’re combined. For example, chemotherapy may make radiation treatments more effective.

What is the difference between radiation therapy and chemotherapy?

Comparison chart. Chemotherapy is the treatment of cancer with one or more cytotoxic anti-neoplastic drugs ("chemotherapeutic agents") as part of a standardized regimen. Radiation therapy is the medical use of ionizing radiation, generally as part of cancer treatment to control or kill malignant cells.

How effective is radiation therapy?

Chemotherapy and radiation are normally effective in the early stages of cancer. In cases of chroniccancer, chemotherapy may not cure but can help control the disease for months or years. Sometimes immunity is developed to certain drugs and in case of a relapse; doctors might take a different approach to the treatment and switch drugs. Sometimes radiation therapy might be the only way to treat cancer and can help with remission. In cases where there is a relapse, radiation therapy may not cure but can control symptoms. Depending on the case, cancer can go into remission for 5, 10, or even 20 years. There is no way of saying how long a cancer will stay in remission. Once in remission, doctor visits are required at scheduled intervals to monitor the progress. The longer the remission period, better are the chances that cancer will not relapse.

What are the different types of cancer treatments?

There are 4 major types of treatment for cancer — radiation, chemotherapy(often called chemo), surgery and biologic therapies. Chemotherapyuses very strong drugs, and radiation therapy uses high energy waves to treat the disease by killing cancer cells. Radiation therapyis targeted to localized cancer i.e., specific organs in the body where cancerous tissue is present. Chemotherapy can be used when cancer cells have spread to other parts of the body.

How long does chemo last?

The length of chemotherapy depends on the type and severity of cancer. Several factors go into determining how the treatment will be given. Chemotherapy is usually given in 2 or 3 week cycles with periods of rest to help the body recover. The treatment may be given for 3 to 6 months and can extend beyond that.

How is chemo given?

Chemotherapy is given according to the type and stage of cancer. When used to treat the entire body, the cancer has usually spread to more than one part of the body. Doctors use chemotherapy to destroy cancer cells, control or slow the spread of cancer cells and reduce symptoms like pain associated with tumors. Chemotherapy is administered in various ways: 1 Injection: Given as a shot 2 Intra-arterial: Often used in case of a tumor. A catheter is inserted through the femoral artery in the groin which is directed to the main artery in the body and directed to the tumor. 3 Intravenous: The drugs are inserted through a vein in the body. 4 Topical: Applied on the skin as a cream. 5 Oral: In the form of pills or liquids taken orally.

How much does chemotherapy cost?

Most often, chemotherapy drugs are taken in combination with other drugs. Drugs can cost from $4,000 to $10,000 for one month of supply.

How does chemo help with cancer?

Doctors use chemotherapy to destroy cancer cells, control or slow the spread of cancer cells and reduce symptoms like pain associated with tumors .

What is radiation treatment?

Radiation treatment uses invisible bursts of energy instead of drugs. In addition, it is usually a “local” treatment that aims energy beams just at the area where cancer cells grow.

What are the goals of chemotherapy and radiation?

Both types of therapy share the same goals: Control: Shrink or slow cancer tumors or stop the spread of cancer cells to other parts of the body. Relief: Shrink tumors to lessen pain and other difficult symptoms of cancer (sometimes called palliative radiation therapy) When a cure isn’t possible, both therapies ...

How do doctors treat cancer?

Your medical team will deliver your radiation therapy through one or more of these methods: 1 External radiation: A machine outside the body shoots invisible high-energy beams into the tumor. 2 Internal radiation: This is sometimes called “brachytherapy.” Doctors place a radioactive object inside your body close to the tumor. They might leave it in to do its work or they may take it out soon afterward. 3 Systemic radiation: Though less common, your doctor might suggest using radiation as a systemic treatment that works throughout the body. That means you get it from a pill you swallow or through a needle or port into one of your veins.

Why is radiation called systemic?

Because these drugs pass through your whole system, they’re called “systemic.”. Radiation treatment uses invisible bursts of energy instead of drugs. In addition, it is usually a “local” treatment that aims energy beams just at the area where cancer cells grow.

How do you deliver radiation therapy?

IV: Through a needle or a tube (port) directly into a blood vessel. Oral: From a pill or capsule that you swallow. Injection: Through a needle into the skin or muscle. Your medical team will deliver your radiation therapy through one or more of these methods:

What is external radiation?

External radiation: A machine outside the body shoots invisible high-energy beams into the tumor.

What are the side effects of radiation?

Hair loss. Nausea and vomiting. Diarrhea. Skin changes (peeling, dryness, irritation) Anemia ( low red blood cell count) Because radiation tends to focus on a particular area, you might notice more side effects in that spot. For example, treatment on your neck might make it hard for you to swallow.

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.

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.

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 the treatment for cancer pain?

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

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 targeted radiotherapy?

Another type of systemic radiation therapy, called targeted radionuclide therapy, is used to treat some patients who have advanced prostate cancer or gastroenteropancreatic neuroendocrine tumor (GEP-NET). This type of treatment may also be referred to as molecular radiotherapy.

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.

How Does Cancer Treatment Affect the Immune System?

Chemotherapy (chemo) and radiation therapy (also called radiotherapy) kill cancer cells. The problem is, they also kill rapidly dividing healthy cells.

How Strong Is Your Immune System After Cancer Treatment?

After chemo and radiation, your immune system can stay suppressed for several months.

Ways to Support Your Immune System After Chemo and Radiotherapy

After chemo and/or radiation it’s important to protect yourself from infection. You can do this by: 2

When to Seek Professional Treatment

It’s important to get treatment for illness or infection right away. Symptoms to watch for include: 7

Summary

Chemotherapy kills fast-growing cells, which includes many healthy cells, along with cancer cells. Bone marrow cells are frequently damaged and unable to produce white blood cells. This hampers your immune system.

A Word From Verywell

More people are surviving and thriving after cancer all the time. Once you beat the disease, though, you can’t let up your guard. Impaired immunity can pose a real threat.

What is chemotherapy?

Chemotherapy (chemo) is the use of strong medicines to treat cancer. It has been used for many years and is one of the most common treatments for cancer. In most cases, chemo damages the cancer cell's ability to grow and spread. Different groups of medicines work in different ways to fight cancer.

What are some common chemo side effects?

Many different kinds of chemo medicines are used to treat cancer. Nearly all of them cause side effects.

Working with your healthcare provider

It's important to know which medicines you're taking. Write your medicines down. Ask your healthcare team how each medicine works and what side effects each medicine might have—both short-term and long-term. Talk about the goal of your chemo treatment. Your cancer care team is the best place to get information.

What is the treatment for cancer?

Radiation therapy. External beam radiation uses high-powered beams of energy to kill cancer cells. Beams of radiation are precisely aimed at the cancer using a machine that moves around your body. Radiation therapy is a type of cancer treatment that uses beams of intense energy to kill cancer cells. Radiation therapy most often uses X-rays, but ...

Why do people get radiation therapy?

Why it's done. More than half of all people with cancer receive radiation therapy as part of their cancer treatment. Doctors use radiation therapy to treat just about every type of cancer. Radiation therapy is also useful in treating some noncancerous (benign) tumors.

What type of radiation is used in X-rays?

The term "radiation therapy" most often refers to external beam radiation therapy. During this type of radiation, the high-energy beams come from a machine outside of your body that aims the beams at a precise point on your body.

What is external beam radiation therapy?

During external beam radiation therapy, you're positioned on a table and a large machine moves around you sending beams of radiation into precise points in your body.

What is the purpose of radiation beams?

The precise dose and focus of radiation beams used in your treatment is carefully planned to maximize the radiation to your cancer cells and minimize the harm to surrounding healthy tissue.

How does radiation damage cells?

Radiation therapy damages cells by destroying the genetic material that controls how cells grow and divide. While both healthy and cancerous cells are damaged by radiation therapy, the goal of radiation therapy is to destroy as few normal, healthy cells as possible.

How long does it take for cancer to respond to radiation?

In some cases, your cancer may respond to treatment right away. In other cases, it may take weeks or months for your cancer to respond.

How does chemotherapy help with cancer?

To ease signs and symptoms. Chemotherapy may help relieve signs and symptoms of cancer by killing some of the cancer cells. Doctors call this palliative chemotherapy.

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.

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.

How to prepare for chemo?

Prepare for your first treatment. Ask your doctor or chemotherapy nurses how to prepare for chemotherapy. It may be helpful to arrive for your first chemotherapy treatment well rested. You might wish to eat a light meal beforehand in case your chemotherapy medications cause nausea.

What to ask your doctor about chemo?

Ask your doctor if you'll need time off work or help around your home after treatment. Ask your doctor for the details of your chemotherapy treatments so that you can make arrangements for work, children, pets or other commitments.

How long after chemo do side effects appear?

Chemotherapy drugs can also cause side effects that don't become evident until months or years after treatment. Late side effects vary depending on the chemotherapy drug but can include:

How to know if you are ready for chemo?

Blood tests to check kidney and liver functions and heart tests to check for heart health can determine whether your body is ready to begin chemotherapy. If there's a problem, your doctor may delay your treatment or select a different chemotherapy drug and dosage that's safer for you. See your dentist.

How does targeted therapy work against 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:

What are the types of targeted therapy?

Most targeted therapies are either small- molecule drugs or monoclonal antibodies.

How does targeted therapy work?

Targeted therapy treats cancer by targeting proteins that control how cancer cells grow, divide, and spread.

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.

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.

Why do cancer cells thrive?

One reason that cancer cells thrive is because they can hide from your immune system. Certain targeted therapies can mark cancer cells so it is easier for the immune system to find and destroy them. Other targeted therapies help boost your immune system to work better against cancer. Stop cancer cells from growing.

What is the test for cancer?

Testing your cancer for targets that could help you and your doctor choose your treatment is called biomarker testing. See Biomarker Testing for Cancer Treatment on this site for more information.

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The Treatment

Administration

  • Chemotherapy is given according to the type and stage of cancer. When used to treat the entire body, the cancer has usually spread to more than one part of the body. Doctors use chemotherapy to destroy cancer cells, control or slow the spread of cancer cells and reduce symptoms like pain associated with tumors. Chemotherapy is administered in vario...
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Side Effects

  • Both chemotherapy and radiation therapy may produce immediate and long term side effects. Along with killing cancer cells, both the treatments tend to kill even the healthy cells, although they repair themselves in time. The damage to the healthy cells causes side effects. These treatments are also hazardous to healthy people, and require special handling during preparation and admin…
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Duration

  • The length of chemotherapy depends on the type and severity of cancer. Several factors go into determining how the treatment will be given. Chemotherapy is usually given in 2 or 3 week cycles with periods of rest to help the body recover. The treatment may be given for 3 to 6 months and can extend beyond that. Chemotherapy requiring oral medication does not require hospitalizatio…
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Effect on Daily Routine

  • Some people are able to go about their daily routine and keep working during chemotherapy as well as radiation therapy. The side effects, however, may require changes in schedule. Schedules may often need to be changed for treatment and hospital visits, but disruptions in daily life can be minimized by getting treatment late in the day or just before the weekend.
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Remission

  • Cancer can be in partial or total remission. In partial remission, some of the signs and symptoms of cancer are not seen. In total remission, none of the signs and symptoms of cancer are seen. Remission is often referred to in 5, 10, 15, and 20 year terms. It does not, however, mean that the cancer is cured. There is a possibility of a relapse after a few years of remission. Effectiveness o…
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Cost

  • The cost of chemotherapy depends on the type of drug prescribed, frequency, and length of treatment. Most often, chemotherapy drugs are taken in combination with other drugs. Drugs can cost from $4,000 to $10,000 for one month of supply. Though some drugs may be covered by insurance companies and Medicare, some insurance companies refuse to cover costs because …
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References

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