Treatment FAQ

what treatment do you go through after surgery with cancer

by Anissa Reichel Published 2 years ago Updated 1 year ago
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Having chemotherapy and radiation after surgery can lower the chance that your cancer will come back. You’ll see your doctor for follow-ups about once every 6 months to check for a recurrence.

Full Answer

What happens after cancer surgery?

You may have:

  • a drip (intravenous infusion) to give you blood transfusions or fluids until you are eating and drinking again
  • wound drains to stop blood and fluid collecting around the area
  • a tube into your bladder to collect urine, if you’ve had a longer operation such as breast reconstruction

What is the life expectancy after prostate removal?

  • With active surveillance, your cancer may grow and spread. 5
  • Choosing not to treat your cancer right away could lead to anxiety.
  • Men who undergo radiation are more likely to have bowel problems. 6
  • There is a chance you may lose bladder control after surgery.
  • You may lose your ability to have an erection after surgery. 7

What is the recovery time from ovarian cancer surgery?

When should I return to work?

  • You can return to work within a maximum of four to six weeks after your laparoscopic ovarian cyst removal.
  • If you feel well, then you can go for lighter work or reduce hours of work.
  • If you require standing all day or heavy manual work, you may need longer than others or request to do it in a sitting position.
  • Avoid heavy weight-lifting at work. ...

More items...

What to expect before and after parathyroid surgery?

  • If swallowing is painful, start out with cold drinks, flavoured ice pops, and ice cream. ...
  • If you cough right after drinking, try drinking thicker liquids, such as a smoothie.
  • You may notice that your bowel movements are not regular right after your surgery. This is common. Try to avoid constipation and straining with bowel movements. ...

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What is the treatment after cancer surgery?

Adjuvant therapy is often used after primary treatments, such as surgery, to lessen the chance of your cancer coming back. Even if your surgery was successful at removing all visible cancer, microscopic bits of cancer sometimes remain and are undetectable with current methods.

Is chemo required after cancer surgery?

The aim of chemotherapy after surgery or radiotherapy is to lower the risk of the cancer coming back in the future. This is called adjuvant treatment. The chemotherapy circulates throughout your body and kills off any cancer cells that have broken away from the main tumour before your operation.

Is cancer curable after surgery?

Surgeons do their best to remove all of the cancer during surgery. But it is always possible to leave behind a small group of cancer cells. Your surgeon may recommend more treatment if they feel that there is a risk that the cancer could come back. This is sometimes called adjuvant treatment.

At what stage of cancer is surgery used?

Curative or primary surgery is usually done when cancer is found in only one part of the body, and it's likely that all of the cancer can be removed. It is called "curative" because the purpose of the surgery is to remove all of the cancer completely. In this case, surgery can be the main treatment.

What comes first chemo or radiation?

Radiation generally starts after chemotherapy is done.

How soon after surgery do you start chemo?

It is usually accepted that adjuvant chemotherapy should begin within 8 weeks after surgery, and most clinical trials mandate that it should be started within 6 to 8 weeks after surgery.

Can you remove cancer with surgery?

Many types of cancer are treated with surgery. Surgery works best for solid tumors that are contained in one area. It is a local treatment, meaning that it treats only the part of your body with the cancer. It is not used for leukemia (a type of blood cancer) or for cancers that have spread.

How long does it take to recover from cancer surgery?

Even if your pain is under control, surgery can be physically and emotionally stressful. Your medical team will talk to you about your recovery – it may take a few days or a week to recover from a less complex operation, but it can take a few months to recover from major surgery.

Does cancer spread after surgery?

You may have heard that surgery for cancer can cause the cancer to spread. It's very rare for surgery to cause cancer to spread. Advances in equipment used during surgery and more detailed imaging tests have helped make this risk very low.

How successful is surgery for cancer?

Surgery is most effective at completely removing cancer that is at an early stage, is only in the place where it started (localized) and hasn't spread to other parts of the body.

How do doctors know if cancer has spread?

When observed under a microscope and tested in other ways, metastatic cancer cells have features like that of the primary cancer and not like the cells in the place where the metastatic cancer is found. This is how doctors can tell that it is cancer that has spread from another part of the body.

What happens in cancer surgery?

Traditionally, the primary purpose of cancer surgery is to cure your cancer by removing all of it from your body. The surgeon usually does this by cutting into your body and removing the cancer along with some surrounding healthy tissue to ensure that all of the cancer is removed.

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How Is Cancer Surgery Traditionally Performed?

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What Can You Expect Before and After Cancer Surgery?

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What Are The Risks of Cancer Surgery?

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Intravenous infusion

A drip (intravenous infusion) put into a vein in the arm or hand. This is to give you fluids until you can eat and drink normally. You may have it...

Drain

A tube (drain) put into your wound to drain extra fluid into a small bottle. This is usually removed after a few days.

Painkillers

A small tube put into a vein in the hand to give you continuous painkillers until you can take tablets.

Catheter

A small tube (catheter) put into your bladder so that urine (pee) is drained into a collection bag. The catheter is usually removed when you start...

As an injection

You can have painkillers as an injection under the skin (subcutaneous), into a muscle or directly into a vein (intravenous).

Into a vein through a pump

You can also have them through a tube called a cannula, which goes into a vein in the hand. The cannula is connected to a pump. Sometimes, you can...

Into a fine tube in the back (epidural)

You might have a continuous dose of painkiller into the spinal fluid through a fine tube and a pump. This is called an epidural.

Reducing the risk of complications

Moving around reduces the risk of complications and helps you recover more quickly. Breathing and leg exercises can also help reduce the risk of pr...

Preventing blood clots

In the first few days after your operation, you may have medicines to help prevent blood clots forming. These medicines are called anticoagulants....

Lymphoedema

Removing the lymph nodes in some areas of the body, such as the armpit or groin, may increase the risk of swelling. This is called lymphoedema.

What can you expect before and after cancer surgery?

Preparation and healing from cancer surgery varies greatly based on the operation. But in general, you can expect certain similarities, including:

How does cancer surgery help?

Cancer surgery helps your doctor define how advanced your cancer is, called its stage. Surgery allows your doctor to evaluate the size of your tumor and determine whether it's traveled to your lymph nodes. Additional tests might be necessary to gauge your cancer's stage. Primary treatment.

How is cancer surgery traditionally performed?

A simple mastectomy (left) removes the breast tissue , nipple, are ola and skin but not all the lymph nodes . A modified radical mastectomy (right) removes the entire breast — including the breast tissue, skin, areola and nipple — and most of the underarm (axillary) lymph nodes.

What other techniques are used in cancer surgery?

Many other types of surgical methods for treating cancer and precancerous conditions exist, and investigators continue to research new methods. Some common types of cancer surgery include:

What is a modified mastectomy?

A modified radical mastectomy (right) removes the entire breast — including the breast tissue, skin, areola and nipple — and most of the underarm (axillary) lymph nodes. Open pop-up dialog box. Close. Lumpectomy. Lumpectomy. A lumpectomy involves removing the cancer and some of the healthy tissue that surrounds it.

What is lumpectomy surgery?

Lumpectomy. A lumpectomy involves removing the cancer and some of the healthy tissue that surrounds it. This illustration shows one possible incision that can be used for this procedure, though your surgeon will determine the approach that's best for your particular situation. Open pop-up dialog box.

How does Mohs surgery work?

Useful for removing cancer from certain sensitive areas of the skin, such as near the eye, and for assessing how deep a cancer goes, this method of surgery involves carefully removing cancer layer by layer with a scalpel. After removing a layer, your doctor evaluates it under a microscope, continuing in this manner until all the abnormal cells have been removed and the surrounding tissue shows no evidence of cancer.

What is the best treatment for cancer?

Surgery to Treat Cancer. Surgery is used to treat many types of cancer. It works best for solid tumors that are contained in one area. Surgery , when used to treat cancer, is a procedure in which a surgeon removes cancer from your body. Surgeons are medical doctors with special training in surgery .

How does surgery work?

Depending on your type of cancer and how advanced it is, surgery can be used to: Surgery removes cancer that is contained in one area. Surgery removes some, but not all, of a cancer tumor. Debulking is used when removing an entire tumor might damage an organ or the body.

What happens when you are under anesthesia?

Once you are under anesthesia, the surgeon removes the cancer, usually along with some healthy tissue around it. Removing this healthy tissue helps improve the chances that all the cancer has been removed.

What is cryosurgery used for?

Cryosurgery is a type of treatment in which extreme cold produced by liquid nitrogen or argon gas is used to destroy abnormal tissue.Cryosurgery may be used to treat early- stage skin cancer, retinoblastoma, and precancerous growths on the skin and cervix.

What is the purpose of anesthesia?

Anesthesia keeps you from feeling pain during surgery. Anesthesia refers to drugs or other substances that cause you to lose feeling or awareness. There are three types of anesthesia:

What is photodynamic therapy?

Photodynamic therapy is used most often to treat or relieve symptoms caused by skin cance r , mycosis fungoides, and non-small cell lung cancer . For more information, see Photodynamic Therapy for Cancer.

Why are lasers used in surgery?

Lasers can focus very accurately on tiny areas , so they can be used for precise surgeries. Lasers can also be used to shrink or destroy tumors or growths that might turn into cancer. Lasers are most often used to treat tumors on the surface of the body or on the inside lining of internal organs.

What is the phone number for cancer surgery?

You can find more detailed information about what happens during and after surgery on our cancer type pages. For support and information about surgery, you can call the Cancer Research UK information nurses on freephone 0808 800 4040, from 9am to 5pm, Monday to Friday.

How long after surgery do you go back to the ward?

You go back to a regular ward once you have recovered enough. Read about the first few days after surgery.

What do nurses check during recovery?

While you are in the recovery area the nurses might regularly check: your blood pressure, pulse and breathing rate. your wound for any bleeding. that you are comfortable, and any pain is under control. how much fluid is draining from your wound drains. that any drips into the bloodstream are running at the right rate.

Where do you go after anaesthesia?

Once you have recovered enough from the anaesthetic you go back to the ward. It's quite common for people not to remember being in the recovery area. Some people who have a big operation and need more regular checks go to a high dependency unit (HDU) or intensive care unit (ICU).

Can you go home after surgery?

You might be able to go home soon after surgery if you only had a local anaesthetic to numb a small area of your body. You need to arrange a friend or relative to take you home if you also had sedation to make you drowsy. Your nurse gives you any instructions you need to follow before you go. They tell you who to contact if you have any problems.

Do you go to the recovery room after an injection?

You go from the operating room to the recovery room if you had an injection to numb a larger area of your body (regional anaesthetic) or a general anaesthetic. You stay in the recovery room until you are well enough to go back to the ward.

What to do if you have cancer that has not been removed?

For example, you may have chemotherapy or radiotherapy to reduce the risk of the cancer coming back. Or you might need treatment to get rid of, or shrink, any cancer that was not completely removed. If you do not need further treatment after surgery, you will have more follow-up appointments.

How to control pain after surgery?

You can control pain with painkillers. Managing pain is important to help you move about soon after surgery, and to make sure you can take deep breaths. This helps to reduce some possible complications of surgery. If your painkillers are not working well for you, tell your nurses.

What to do if you have an infection?

If you have any signs of infection, contact your doctor or nurse straight away. You may be given a hospital number to call.

How long after surgery do you see a CNS?

You usually see your surgeon and clinical nurse specialist (CNS) a few weeks after your operation. It is natural to feel anxious before your appointment. Taking a family member or friend with you for support can help. They can also help you to remember what was said.

What is the catheter used for?

Catheter. A small tube (catheter) put into your bladder so that urine (pee) is drained into a collection bag. The catheter is usually removed when you start walking about. For some types of surgery the catheter may need to be kept in for longer.

How many tubes do you have after a small surgery?

You may have some tubes attached to your body. If you had a small operation, you may not have any. Or you may only have 1 or 2 tubes. But after bigger operations you may have the following:

What to expect after a big surgery?

Knowing what to expect when you wake up after your operation can make you feel less anxious. It also helps to prepare your family and friends. After a big operation, you may wake up in the intensive care unit or a high-dependency recovery unit. You will usually move back to the ward within a day or so.

How to reduce risk of breast cancer recurrence?

Discuss ways to help lower your risk of breast cancer recurrence, such as maintaining a healthy weight. Check for signs of lymphedema. Check for changes in your family history and refer you to genetic counseling or genetic testing, if appropriate. Provide medical updates that might change your follow-up care.

What tests are needed to check for breast cancer recurrence?

Depending on your signs and symptoms, follow-up tests may include: Blood tests (including tumor marker tests)

What is the term for breast cancer that has returned and spread to other parts of the body?

Find breast cancer that has returned and spread to other parts of the body ( metastasis ).

What tests are done to check for breast cancer?

Depending on your signs and symptoms, follow-up tests may include: Blood tests (including tumor marker tests) Imaging tests (such as bone scans, CT scans, PET scans and chest X-rays) A tissue biopsy (to check if a suspicious finding is a recurrence of breast cancer) Other tests may also be done.

What to ask for during bone health checkup?

Bone health tests. During follow-up visits, your health care provider will ask you about any symptoms or concerns you may have. These visits are a good time to discuss how you’re doing emotionally. If you feel anxious or depressed, tell your health care provider.

How long after a mammogram do you have to have radiation?

Mammogram (of the remaining breast tissue and/or opposite breast) People treated with lumpectomy plus radiation therapy. 6-12 months after radiation therapy ends, then every year. People treated with mastectomy. 1 year after mammogram that led to diagnosis, then every year.

Do breast cancer survivors get the flu shot?

The Centers for Disease Control and Prevention (CDC) recommends breast cancer survivors get the seasonal flu shot.

What to expect after cancer treatment?

Yet at the same time, you may feel sad and worried. It’s common to be concerned about whether the cancer will come back and what you should do after treatment. When treatment ends, you may expect life to return to the way it was before you were diagnosed with cancer. But it can take time to recover. You may have permanent scars on your body, or you may not be able to do some things you once did easily. Or you may even have emotional scars from going through so much. You may find that others think of you differently now—or you may view yourself in a different way. One of the hardest things after treatment is not knowing what happens next.

What is the first few months of cancer treatment?

Those who have gone through cancer treatment describe the first few months as a time of change . It’s not so much “getting back to normal” as it is finding out what’s normal for you now. People often say that life has new meaning or that they look at things differently now. You can also expect things to keep changing as you begin your recovery. Your new “normal” may include making changes in the way you eat, the things you do, and your sources of support, all of which are discussed in this booklet.

What is complementary medicine?

Complementary and alternative medicine includes many different healing approaches that people use to prevent illness, reduce stress, prevent or reduce side effects and symptoms, or control or cure disease. An approach is generally called “complementary” when it is used in addition to treatments prescribed by a doctor. When it is used instead of treatments prescribed by a doctor, it is often called “alternative.” Research has shown that more than half of all people with a history of cancer use one or more of these approaches. Some common methods include imagery or relaxation (see page 60), acupressure and massage, homeopathy, vitamins or herbal products, special diets, psychotherapy, prayer, yoga, and acupuncture. Even though you have finished your cancer treatment, if you are thinking about using any of these methods, discuss it with your doctor or nurse first. Some complementary and alternative therapies may interfere or be harmful when used with medicines normally prescribed by a doctor. For more information, see the Resources section to order the NCI brochure Thinking About Complementary & Alternative Medicine: A Guide for People With Cancer. You can also go to the NIH’s National Center for Complementary and Integrative Health at nccih.nih.gov

What does "cancer survivor" mean?

This booklet uses the term “cancer survivor” to include anyone who has been diagnosed with cancer, from the time of diagnosis through the rest of his or her life. Family members, friends, and caregivers are also part of the survivorship experience. You may not like the word, or you may feel that it does not apply to you, but the word “survivor” helps many people think about embracing their lives beyond their illness.

What doctor will provide follow up care for cancer?

For regular medical care, you may decide to see your main provider, such as a family doctor. For specific concerns, you may want to see a specialist. This is a topic you can discuss with your doctors. They can help you decide how to make transitions in care. Depending on where you live, it may make more sense to get follow-up cancer care from your family doctor, rather than your oncologist . It’s important to note that some insurance plans pay for follow-up care only with certain doctors and for a set number of visits. In coming up with your schedule, you may want to check your health insurance plan to see what follow-up care it allows. No matter what your health coverage situation is, try to find doctors you feel comfortable with.

How to stay active after cancer?

Several recent reports suggest that staying active after cancer can help lower the risk of recurrence and can lead to longer survival. Moderate exercise (walking, biking, swimming) for about 30 minutes every —or almost every—day can: • Reduce anxiety and depression • Improve mood and boost self-esteem • Reduce fatigue, nausea, pain, and diarrhea It is important to start an exercise program slowly and increase activity over time, working with your doctor or a specialist (such as a physical therapist) if needed. If you need to stay in bed during your recovery, even small activities like stretching or moving your arms or legs can help you stay flexible, relieve muscle tension, and help you feel better. Some people may need to take special care in exercising. Talk with your doctor before you begin any exercise program.

How to reduce the risk of cancer?

4Cut down on how much alcohol you drink. Research shows that drinking alcohol increases your chances of getting certain types of cancers. 4Eat well. Healthy food choices and physical activity may help reduce the risk of cancer or recurrence. Talk with your doctor or a nutritionist to find out about any special dietary needs that you may have. The American Cancer Society and the American Institute for Cancer Research have developed similar diet and fitness guidelines that may help reduce the risk of cancer: • Eat a plant-based diet and have at least 5–9 servings of fruit and vegetables daily. Try to include beans in your diet, and eat whole grains (such as cereals, breads, and pasta) several times daily. • Choose foods low in fat and low in salt. • Get to and stay at a healthy weight. For more tips on nutrition and healthy eating, go to www.aicr.org

What to do the day before surgery?

The doctor may also give instructions for the day before surgery such as showering with a special soap, stopping solid foods and liquids at a certain time, and in some cases doing a bowel preparation.

What to do before pre-op surgery?

It could be stopping certain prescription or other medications for a short time before the surgery. The patient might need pre-op testing, such as x-rays and bloodwork. The doctor may also give instructions for the day before surgery such as showering with a special soap, stopping solid foods and liquids at a certain time, and in some cases doing a bowel preparation.

What to do if pain medication isn't working?

These may include getting up and walking around, taking prescribed pain medication, or taking deep breaths and coughing. Tell a nurse or doctor if the pain medication isn’t working. Before you leave, talk to the doctors and nurses about what to expect after the patient gets home. Be sure you understand:

How long do you stay in the hospital after surgery?

How long someone stays in the hospital after surgery depends on the type of surgery and their health. While the patient is in the hospital, you can help by encouraging them to follow all the doctor’s instructions. These may include getting up and walking around, taking prescribed pain medication, or taking deep breaths and coughing. Tell a nurse or doctor if the pain medication isn’t working.

What does it mean when you have pain after a surgical procedure?

Unusual pain anywhere, including in the legs, chest, belly, and intense headaches. Shortness of breath or trouble breathing. Having trouble urinating; pain when urinating; or bloody, bad smelling, or cloudy urine.

What to ask a health care team about surgery?

Ask the health care team about anything you don’t understand or that you want more information about. One question caregivers often have is how soon surgery will be scheduled. This can be a concern because of work schedules or life commitments. Also, you or the patient might feel anxious about waiting too long for surgery. Be sure to ask about this.

What is the pre-operative phase?

Before surgery is called the pre-operative phase or pre-op for short. At appointments leading up to surgery, be an extra set of eyes and ears . The health care team will give you a lot of information and ask the patient to fill out informed consent forms that give permission to do the surgery. You can take notes to help you both remember details.

What happens after cancer treatment?

When cancer treatment ends, people begin a new chapter in their lives, one that can bring hope and happiness, but also worries and fear. No two people are alike. Each person has his or her own way of coping and learning to manage these emotions. It will take time and practice.

How to help cancer survivors?

Emotional support can be a powerful tool for both cancer survivors and their families. Talking with others who are in situations like yours can help ease loneliness. You can also get useful ideas from others that might help you.

How does religion help people with cancer?

Religion can be a great source of strength for some people. Some find new faith during a cancer experience. Others find that cancer informs their existing faith or their faith provides newfound strength. Still others find themselves questioning their faith. If you are a religious person, a minister, rabbi, other leader of your faith, or a trained pastoral counselor can help you identify your spiritual needs and find spiritual support. Some members of the clergy are specially trained to help minister to people with cancer and their families.

What does it feel like to be put aside for cancer treatment?

For some people, emotions that were put aside during cancer treatment come flooding back all at once, and they feel overwhelmed with sadness, anger, or fear. Some of it may be the lingering side effects of treatment, but some of it feels as if your body and spirit are tired and need a long rest.

How long does a cancer group meet?

Other groups focus on certain types of cancer or stages of disease. The length of time groups meet can range from a set number of weeks to an ongoing program.

How long after cancer treatment do side effects show up?

These may be called long-term side effects. These problems might not appear right away and some don’t show up until years after treatment. Ask your cancer care team:

Can cancer come back?

You’ll probably be concerned that the cancer might come back, and you might find yourself thinking about death and dying. The fear of cancer coming back (called cancer recurrence) is common among cancer survivors and can sometimes be quite intense. Maybe you’re more aware of the effects the cancer has had on your family, friends, and career.

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