{"id":92,"date":"2020-04-07T16:39:18","date_gmt":"2020-04-07T14:39:18","guid":{"rendered":"https:\/\/medicallib.co.za\/health-info\/?p=92"},"modified":"2022-06-23T00:50:25","modified_gmt":"2022-06-22T22:50:25","slug":"treatment-of-cancer","status":"publish","type":"post","link":"https:\/\/medicallib.co.za\/health-info\/treatment-of-cancer\/","title":{"rendered":"Cancer Treatment"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; custom_margin=&#8221;-40px|||||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; custom_margin=&#8221;-25px|auto||auto||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.17.4&#8243; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;2em&#8221; custom_padding=&#8221;||8px||false|false&#8221; border_radii=&#8221;off|||1vw|1vw&#8221; border_width_bottom=&#8221;6px&#8221; border_color_bottom=&#8221;#0C71C3&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">There exist seven different methods used to treat cancer. This includes <strong>Chemotherapy<\/strong>, <strong>Targeted therapy<\/strong>, <strong>Surgery<\/strong>, <strong>radiotherapy<\/strong>, <strong>Hormone therapy<\/strong>, <strong>immunotherapy<\/strong>, and <strong>clinical trials<\/strong>. <span style=\"color: #ff6600;\"><strong>Chemotherapy<\/strong><\/span> uses a chemical substance or drug to obstruct vital processes within the cell including DNA replication, protein synthesis, and metabolic pathways. <strong><span style=\"color: #ff6600;\">Targeted therapy<\/span><\/strong> uses small molecules, antibodies, or both to target specific processes or molecules involved in carcinogenesis. <strong><span style=\"color: #ff6600;\">Surgery<\/span><\/strong> involves removing precancerous or cancerous tissues, opening obstructions caused by cancer, repairing tissues damaged by cancer, support other treatments such as chemotherapy and radiotherapy and to diagnose and determine the stage of cancer. <span style=\"color: #ff6600;\"><strong>Radiothepy<\/strong><\/span> uses high doses of ionizing radiations to kill cancer cell. <strong><span style=\"color: #ff6600;\">Hormone therapy<\/span><\/strong> inhibit the production of hormones that promote cancer and block their action. <strong><span style=\"color: #ff6600;\">Immunotherapy<\/span><\/strong> enhances or restore the immune system to better fight cancer cells. Immunotherapy also involves the use of cancer vaccines. <strong><span style=\"color: #ff6600;\">Clinical trials<\/span><\/strong> makes uses of treatment options that are still being evaluated for future use. Amongst these treatment options, chemotherapy, surgery, and radiotherapy are commonly used.\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">Each treatment option comes with their own advantages and disadvantages or side effects. However, side effects depend on the individual; some people might get none, others few while some will have the whole hell loose on them. The same side effects can be mild in some but for others it can be very severe and might even lead to further complications.\u00a0<\/span><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;2em&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Table of Content<\/h2>\n<ul>\n<li><span style=\"color: #3366ff;\"><a href=\"https:\/\/medicallib.co.za\/health-info\/treatment-of-cancer#chemo1\" style=\"color: #3366ff;\">Chemotherapy<\/a><\/span><\/li>\n<li><span style=\"color: #3366ff;\"><a href=\"https:\/\/medicallib.co.za\/health-info\/treatment-of-cancer#tathera1\" style=\"color: #3366ff;\">Targeted therapy<\/a><\/span><\/li>\n<li><span style=\"color: #3366ff;\"><a href=\"https:\/\/medicallib.co.za\/health-info\/treatment-of-cancer#sgry1\" style=\"color: #3366ff;\">Surgery<\/a><\/span><\/li>\n<li><span style=\"color: #3366ff;\"><a href=\"https:\/\/medicallib.co.za\/health-info\/treatment-of-cancer#rathera1\" style=\"color: #3366ff;\">Radiotherapy<\/a><\/span><\/li>\n<li><span style=\"color: #3366ff;\"><a href=\"https:\/\/medicallib.co.za\/health-info\/treatment-of-cancer#hothera1\" style=\"color: #3366ff;\">Hormone therapy<\/a><\/span><\/li>\n<li><span style=\"color: #3366ff;\"><a href=\"https:\/\/medicallib.co.za\/health-info\/treatment-of-cancer#imthera1\" style=\"color: #3366ff;\">Immunotherapy<\/a><\/span><\/li>\n<li><span style=\"color: #3366ff;\"><a href=\"https:\/\/medicallib.co.za\/health-info\/treatment-of-cancer#clitrial1\" style=\"color: #3366ff;\">Clinical trials<\/a><\/span><\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text module_id=&#8221;chemo1&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;2em&#8221; custom_padding=&#8221;20px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Chemotherapy<\/h2>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">Chemotherapy is a treatment method which uses a drug or chemical substance to target rapidly dividing cells by obstructing several vital processes such as DNA replication, protein folding and unfolding, or obstruction of metabolic pathway. Chemotherapeutic (also called chemotherapy) drugs are not very specific to their target and hence usually attack normal cells as well. But because cancer cells divide more rapidly than normal cells, they will be killed faster than normal cells. A selectivity index (SI) is usually used to determine the effectiveness or potential of a chemotherapeutic drug. SI = 10 for example will mean the drug can kill 10 cancer cells before it will kill 1 normal cell. Therefore, the higher the selectivity index the better. Because normal cells are also attacked, chemotherapeutic drugs results to severe side effects or toxicity and can even cause death of the patient. Besides, different drugs have different side effects and no single drug results to all possible side effects. Therefore, it is good practice to always inquire from your doctor about the side effects of your drug. Note however that in chemotherapy, one or more drugs may be used simultaneously as judge suitable by your doctor. In addition to lack of specificity, other disadvantages of chemotherapy are that they are not active against all cancer types, will not always destroy all the cancer cells, and usually induce drug resistance to cell.<\/span><span style=\"color: #333333;\"><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\"><\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #333333;\"><strong>Side effects and complications of chemotherapy\u00a0<\/strong><\/span><\/h3>\n<p><span style=\"color: #333333;\">Side effects and complications commonly encountered during chemotherapy treatment include:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"color: #333333;\">Hair loss<\/span><\/li>\n<li><span style=\"color: #333333;\">Pain<\/span><\/li>\n<li><span style=\"color: #333333;\">Fatigue<\/span><\/li>\n<li><span style=\"color: #333333;\">Fever<\/span><\/li>\n<li><span style=\"color: #333333;\">Nausea<\/span><\/li>\n<li><span style=\"color: #333333;\">Vomiting<\/span><\/li>\n<li><span style=\"color: #333333;\">Mouth sores<\/span><\/li>\n<li><span style=\"color: #333333;\">Loss of appetite<\/span><\/li>\n<li><span style=\"color: #333333;\">Constipation<\/span><\/li>\n<li><span style=\"color: #333333;\">Diarrhea<\/span><\/li>\n<li><span style=\"color: #333333;\">Easy bruising<\/span><\/li>\n<li><span style=\"color: #333333;\">Suppression of the immune system<\/span><\/li>\n<li><span style=\"color: #333333;\">Anemia<\/span><\/li>\n<li><span style=\"color: #333333;\">Infertility<\/span><\/li>\n<li><span style=\"color: #333333;\">Damage to organs such as heart, kidney, liver and lungs<\/span><\/li>\n<li><span style=\"color: #333333;\">Damage to nerves<\/span><\/li>\n<li><span style=\"color: #333333;\">A second cancer type may emerge<\/span><\/li>\n<li><span style=\"color: #333333;\">May results to abnormal development during pregnancy<\/span><\/li>\n<\/ul>\n<h3 style=\"text-align: justify;\"><span style=\"color: #333333;\"><strong>Aim of Chemotherapy<\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">Chemotherapy may be used to achieve different aims or objectives during cancer treatment. This may be;<\/span><\/p>\n<ol>\n<li style=\"text-align: justify;\"><span style=\"color: #333333;\">As the primary or only form of treatment<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #333333;\">To get you ready for other treatments \u00a0such as surgery or radiation. This approach is called <strong>neoadjuvant therapy. <\/strong>Here the drug may help for example to reduce or shrink the tumor in order to increase the success rate with other treatment types.<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #333333;\">To reduce signs and symptoms associated with a given cancer, by killing some of the cells. This approach is called <strong>palliative chemotherapy<\/strong>. It\u2019s done with no curative intent but rather to help improve your quality of life, or increase your life expectancy.<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #333333;\">To kill any hidden cancer cell that might have survived or escape during other treatments such as surgery. This approach is called <strong>adjuvant therapy<\/strong>.<\/span><\/li>\n<\/ol>\n<p>[\/et_pb_text][et_pb_text module_id=&#8221;tathera1&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;2em&#8221; custom_padding=&#8221;20px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2><strong><span style=\"color: #333333;\">Targeted (or Molecular Targeted) Therapy<\/span><\/strong><\/h2>\n<p style=\"text-align: left;\"><span style=\"color: #333333;\">Unlike chemotherapy drugs, targeted therapies are a class of drugs (small molecules, antibodies or a combination of both) which target specific processes or molecules involved in carcinogenesis and tumor growth. Because they are specific, more cancer cells are killed by far compared to normal cells and many of the side-effects observed with chemotherapy will be absent although severe side-effects have been observed in some cases. Targeted therapy is not widely used because targeted therapy is extremely expensive. Secondly the specific target of the targeted therapy could undergo mutation or the cancer can find a different way of surviving which does not depend on this target. Either case will render treatment completely useless. If target has changed, then unnecessary side effects are likely to be observed. It is therefore good for your doctor to ensure that the specific target of the drug you are receiving\u00a0 hasn\u2019t undergone mutation or alteration. Targets for targeted therapy could be a gene, protein or the tissue environment of the cancer.<\/span><\/p>\n<h3 style=\"text-align: left;\"><span style=\"color: #333333;\">Uses and limitations of targeted therapy in cancer treatment<\/span><span style=\"color: #333333;\"><\/span><\/h3>\n<ul style=\"text-align: left;\">\n<li><span style=\"color: #333333;\">Targeted therapy can be optimized for a specific patient.<\/span><\/li>\n<li><span style=\"color: #333333;\">There aren\u2019t drugs for every cancer target. Drugs against certain cancer target are very difficult to develop.<\/span><\/li>\n<li><span style=\"color: #333333;\">Targeted therapies can be cytostatic in that they simply inhibit the proliferation of the cancerous tumor but don\u2019t necessarily kill it.<\/span><\/li>\n<li><span style=\"color: #333333;\">Targeted therapies can be used in combination with other treatment type such as chemotherapy.<\/span><\/li>\n<\/ul>\n<h3><span style=\"color: #333333;\">Side Effects of Targeted Therapy<\/span><\/h3>\n<p style=\"text-align: left;\"><span style=\"color: #333333;\">\u00a0Side effects are also observed with targeted therapy although less compared with chemotherapy. \u00a0These include but not limited to:<\/span><\/p>\n<ul>\n<li style=\"text-align: left;\"><span style=\"color: #333333;\">High blood pressure<\/span><\/li>\n<li><span style=\"color: #333333;\">Impaired blood clotting and wound healing: Notify your doctor immediately you notice black stool or blood in your stool and whenever you vomit blood or anything that looks dark red, brown or black.<\/span><\/li>\n<li><span style=\"color: #333333;\">Swell in certain parts of the body such as face, legs, feet and hands.<\/span><\/li>\n<li><span style=\"color: #333333;\">Immune suppression or autoimmunity<\/span><\/li>\n<li><span style=\"color: #333333;\">Diarrhea<\/span><\/li>\n<li><span style=\"color: #333333;\">Heart damage: May manifest as chest pain, difficulties breathing, intense coughing, swelling in the ankles or leg, dizziness, fainting and rapid weight gain.<\/span><\/li>\n<li><span style=\"color: #333333;\">Liver problems such as hepatitis and elevated level of liver enzymes<\/span><\/li>\n<li><span style=\"color: #333333;\">Skin problems such as dry skin, rashes, hair depigmentation, nail changes<\/span><\/li>\n<li><span style=\"color: #333333;\">Gastrointestinal perforation: This may be associated with severe abdominal pain, fever, increase breathing, increase heart rate and even confusion.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: left;\"><span style=\"color: #333333;\">Most side effects associated with chemotherapy may also be observed in targeted therapy.<\/span><\/p>\n<p><strong><span style=\"color: #333333;\"><\/span><\/strong><\/p>\n<p>[\/et_pb_text][et_pb_text module_id=&#8221;sgry1&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;2em&#8221; custom_padding=&#8221;20px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2><span style=\"color: #333333;\">Surgery<\/span><\/h2>\n<p><span style=\"color: #333333;\">Surgery is usually one of the first options for cancer treatment especially when the primary tumor is localized (still in its site of origin). The success of surgery in the treatment of cancer will depend on the type of cancer, its size, its stage, its distribution, and location. Other factors such as age, presence of other illnesses or physical fitness of patient also determines success outcome.<\/span><\/p>\n<h3><span style=\"color: #333333;\">How Surgery is used to Treat Cancer<\/span><\/h3>\n<p><span style=\"color: #333333;\">Surgery can be used in different ways during cancer and its treatment<\/span><\/p>\n<ol>\n<li><span style=\"color: #333333;\"><strong>To prevent cancer or lower the risk of developing cancer (Preventive or Prophylactic Surgery).<\/strong><strong><br \/><\/strong>Here the surgeon searches for precancerous conditions in tissues. Tissues with high probability or risk of developing into cancer are carefully removed. This is usually the case with people having genetic predisposition to cancer such as an inherited disease or people with certain infections. Very large amounts of tissues or even an entire organ can be removed if necessary to prevent cancer.<\/span><\/li>\n<li><span style=\"color: #333333;\"><strong>To diagnose and determine the stage of cancer.<\/strong><strong><br \/><\/strong>Here a surgeon extracts a cell or tissue sample from the patient\u2019s body and studies it under a microscope. From the studies, he\/she can determine the following:<\/span>\n<ul>\n<li><span style=\"color: #333333;\">If the cell or tissue is cancerous<\/span><\/li>\n<li><span style=\"color: #333333;\">The type of <span style=\"color: #3366ff;\"><a href=\"https:\/\/medicallib.co.za\/health-info\/what-is-cancer\/\" style=\"color: #3366ff;\">cancer<\/a><\/span><\/span><\/li>\n<li><span style=\"color: #333333;\">The extent or <span style=\"color: #3366ff;\"><a href=\"https:\/\/medicallib.co.za\/health-info\/cancer-naming-grading-and-staging\/\" style=\"color: #3366ff;\">stage of the cancer<\/a><\/span><\/span><\/li>\n<li><span style=\"color: #333333;\">If any of the neighboring tissues have also become cancerous<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<p><span style=\"color: #333333;\">Based on the surgeon\u2019s findings, a proper treatment plan will then be developed for the patient.<\/span><\/p>\n<ol start=\"3\">\n<li><span style=\"color: #333333;\"><strong> <\/strong><strong>To relieve cancer symptoms<\/strong><\/span><\/li>\n<\/ol>\n<p><span style=\"color: #333333;\">Cancer causes obstructions or blockage in certain parts of the body such as the intestines or bile duct. This can be associated with severe pain or pressure. Surgery in this case will help to open up such obstructions or to create a bypass around the blockage in order to relieve symptoms and hence improve your quality of life. Such surgeries are not meant to cure the cancer.<\/span><\/p>\n<ol start=\"4\">\n<li><span style=\"color: #333333;\"><strong> <\/strong><strong>To support other treatments<\/strong><\/span><\/li>\n<\/ol>\n<p><span style=\"color: #333333;\">Here the surgeon provides direct access to a blood vessel to facilitate blood sampling or other treatments such as chemotherapy and antibiotics. Direct access may involve the placement of a central venous catheter.<\/span><\/p>\n<ol start=\"5\">\n<li><span style=\"color: #333333;\"><strong> <\/strong><strong>To support other body functions<\/strong><\/span><\/li>\n<\/ol>\n<p><span style=\"color: #333333;\">Cancer can cause obstructions or blockages in certain organs therefore impair their functions. For people who have difficulties eating or drinking for example, the surgeon will create an opening through the abdominal wall into the stomach and place a tube directly there. An opening through the neck into the trachea may also be done to aid breathing.<\/span><\/p>\n<ol start=\"6\">\n<li><span style=\"color: #333333;\"><strong> <\/strong><strong>Treat cancer and lower its chances of reoccurrence<\/strong><\/span><\/li>\n<\/ol>\n<p><span style=\"color: #333333;\">This can take several forms<\/span><\/p>\n<p><span style=\"color: #333333;\"><strong>Complete removal of the cancer cells:<\/strong> Surgery becomes very effective when the tumor is still localized and at its early stage. However, surgery may also be used to treat metastatic cancer (cancer that has started to spread from where it all started). In a typical surgery procedure, the surgeon will also remove a certain quantity of normal tissues in the vicinity of the cancer (usually called the surgical margin). Lymph nodes in the vicinity of the cancer that are infected with cancer cells are also removed completely. A radical surgery can result even to the removal of an entire organ. All these is done make sure no cancer cells are left behind or will have the capacity to spread to other parts of the body. It also decreases the chances of reoccurrence.<\/span><br \/><span style=\"color: #333333;\"><strong>To reduce the size of the cancers (cytoreductive surgery):<\/strong> Some tumors are too big and can\u2019t be completely removed through surgery or their complete removal through surgery might cause more harm than good. Here, the surgeon will aim at removing as much of the cancerous cells as possible. This will precede and help to increase the effectiveness of other treatments such as chemotherapy or radiotherapy.<\/span><br \/><span style=\"color: #333333;\"><strong>Combination therapy:<\/strong> To lower the risk of reoccurrence and increase treatment outcome, surgery is usually undertaken with other forms of therapy. In neoadjuvant therapy, chemotherapy and\/or radiotherapy is used to shrink the tumor so that surgery can be easier. In adjuvant therapy however, chemotherapy and\/or radiotherapy is given after surgery to destroy any cancer cell that was left behind or too small to be seen and to kill any cancer cell which might have spread to other body parts.<\/span><\/p>\n<ol start=\"7\">\n<li><span style=\"color: #333333;\"><strong> <\/strong><strong>To help repair damaged tissues<\/strong><\/span><\/li>\n<\/ol>\n<p><span style=\"color: #333333;\">Tissues damaged by cancer, or its treatment are usually repaired through surgery. It is called reconstructive or plastic surgery and will help the body to regain its appearance or function before it was infected with cancer. It may be done immediately or at a later stage following treatment. It uses either the patient\u2019s own tissues or materials called silicon.<\/span><\/p>\n<p><span style=\"color: #333333;\">Tow types of cancer surgery; open surgery, or less invasive surgery. In open surgery, the surgeon makes one large cut through the body to remove the cancer. In less invasive approaches however, the surgeon makes small cuts or incision through the body. Such an approach speeds up recovery and decreases side effects or damage that might arise. Examples of less invasive surgeries include laparoscopic surgery, laser surgery, and cryosurgery.<\/span><\/p>\n<h3><span style=\"color: #333333;\">When is surgery not used in cancer treatment?<\/span><\/h3>\n<p><span style=\"color: #333333;\">Surgery may not be useful under the following circumstances:<\/span><\/p>\n<ol>\n<li><span style=\"color: #333333;\">If the tumor is very small and cannot be detected visually by the surgeon nor through laboratory examinations<\/span><\/li>\n<li><span style=\"color: #333333;\">If the location of the tumor could make surgery impossible such that attempts could result to damage to other body organs.<\/span><\/li>\n<li><span style=\"color: #333333;\">The patient\u2019s general health conditions could render surgery very risky<\/span><\/li>\n<\/ol>\n<h3><span style=\"color: #333333;\"><strong>Side effects of surgery<\/strong><\/span><\/h3>\n<p><span style=\"color: #333333;\">The nature and extent of the side effects will vary from person to person based on the person\u2019s general health, type of surgery performed, the type and location of the cancer and other forms of treatment patient has undergone before surgery.\u00a0 Common side effects however will involve the following:<\/span><\/p>\n<ul>\n<li><span style=\"color: #333333;\">Nausea<\/span><\/li>\n<li><span style=\"color: #333333;\">Fatigue<\/span><\/li>\n<li><span style=\"color: #333333;\">Pain<\/span><\/li>\n<li><span style=\"color: #333333;\">Swelling<\/span><\/li>\n<li><span style=\"color: #333333;\">Lymphedema<\/span><\/li>\n<li><span style=\"color: #333333;\">Infection<\/span><\/li>\n<li><span style=\"color: #333333;\">Loss of appetite<\/span><\/li>\n<li><span style=\"color: #333333;\">Numbness<\/span><\/li>\n<li><span style=\"color: #333333;\">Bleeding<\/span><\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text module_id=&#8221;rathera1&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;2em&#8221; custom_padding=&#8221;20px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Radiation Therapy (Radiotherapy)<\/h2>\n<h3 style=\"text-align: justify;\"><span style=\"color: #333333;\"><strong>What is radiation?<\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">Radiation is energy that is moving through space or through a material medium and takes several forms such as infrared, x-ray, gamma, ultrasound radiation etc. Depending on the amount of energy it carries, radiation can either be classified as ionizing or non-ionizing. Ionizing radiations such as x-ray are very dangerous to the human health. Low levels of radiation called background radiation are everywhere and can be emitted naturally by the rocks, soil, sun and animals. Background radiation is not dangerous, medium levels can cause discomforts such as headache, fever and vomiting but high levels of radiation can kill by causing damage to cells. Radiation may also be produced artificially and use for medical purposes. An example of such is x-ray which is use for medical imaging.<\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #333333;\"><strong>How does radiotherapy work?<\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">Radiotherapy uses high doses of ionizing radiations to kill cancer cells completely as the only form of treatment, to shrink cancer cells before another treatment, to destroy any remaining cells after another treatment or in combination with other treatments such as chemotherapy, surgery or hormone therapy. Radiotherapy is a continuous treatment and will not cause cancer cells to die immediately.\u00a0 Death of cancer cells occurs after days or weeks when they must have suffered sufficient damage.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">The use of radiotherapy just like chemotherapy is based on the principle that cancer cells divide faster than normal cells and as such they will be destroyed faster. Normal cells can recover from radiation faster than cancer cells but damage to normal cells willl lead to side-effects. In radiotherapy, care is taken to make sure normal cells are not damaged beyond a point where they cannot recover from the radiation.<\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #333333;\"><strong>External and internal radiotherapy<\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">In external radiation therapy also called external beam radiation therapy, a machine is used to direct a beam of radiation to the cancer cells. In internal radiotherapy, a radioactive substance is placed directly inside your body. The radioactive substances can either be solid or liquid. When a solid radiation source is used (brachytherapy), it is placed in or around the cancerous tumour. When the radiation source is a liquid (systemic radiation therapy), it is given orally or intravenously and will move through your blood and tissues killing cancerous cells. Which one will be used between external or internal radiotherapy will depend on the type of cancer, its stage, size and location, your general health conditions, and on other treatment plans you will follow.<\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #333333;\"><strong>Side effects of radiotherapy<\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">\u00a0Side effects with radiotherapy will depend on the individual receiving the treatment, the duration of the treatment, the radiation dose applied and the part of the body where the radiation is being applied. Generally, you will experience fatigue, hair loss, lymphedema and skin reactions. For other side effects, discuss with your doctor based on your treatment. Note that side effects with radiotherapy may be immediate, later or even after several years.<\/span><\/p>\n<p>[\/et_pb_text][et_pb_text module_id=&#8221;hothera1&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;2em&#8221; custom_padding=&#8221;20px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Hormone Therapy<\/h2>\n<h3 style=\"text-align: justify;\"><span style=\"color: #333333;\"><strong>What are hormones?<\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">Hormones are chemical messengers secreted directly into the blood stream by glands where they travel to exert or carryout their functions. Only cells with receptors to the secreted hormones will respond to its signal. Hormones regulate and coordinate complexes processes within the body such as growth and development, metabolism and behavior. They are released in response to a signal from the brain.<\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #333333;\"><strong>How does hormone therapy works ? <\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">Some cancer cells take advantage of the body\u2019s own hormones to grow. Examples of such cancers are prostate, breast, endometrial and thyroid cancer. Hormone therapy also called endocrine therapy aims to block these hormones or stop their production or interfere with their function and by so doing cancer cell growth is slowed down or inhibited completely. It may be regarded as a form of targeted therapy and treatment is usually personalized to the patient being treated. Most hormone therapies last for a very long time and in some cases throughout the patient\u2019s life.<\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #333333;\">How to Inhibit or Alter Hormone Levels in the Body?<\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">Inhibiting or altering hormones level in the body may be accomplished in one of the following ways:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"color: #333333;\">Removal of the glands or organs that produce the hormone. This may be achieved through surgery.<\/span><\/li>\n<li><span style=\"color: #333333;\">Bombarding hormone producing glands or organs with radiation in order to destroy the hormone producing cells.<\/span><\/li>\n<li><span style=\"color: #333333;\">Using drugs which suppress hormone producing cells or which work against a hormone and\/or his effect in the body.<\/span><\/li>\n<\/ul>\n<h3 style=\"text-align: justify;\"><span style=\"color: #333333;\"><strong>When is hormone therapy used?<\/strong><\/span><\/h3>\n<p><span style=\"color: #333333;\">Hormone therpay is used for the following purposes:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"color: #333333;\">To shrink tumour before surgery or radiotherapy (neoadjuvant therapy).<\/span><\/li>\n<li><span style=\"color: #333333;\">Decreases the risk of reoccurrence of the cancer cell following a main treatment. It does so by slowing down or stopping growth of the cancer cell (adjuvant therapy).<\/span><\/li>\n<li><span style=\"color: #333333;\">To reduce symptoms or prevent symptoms (palliative chemotherapy)<\/span><\/li>\n<li><span style=\"color: #333333;\">To destroy any remaining cancer cells that might have escaped to other body parts<\/span><\/li>\n<\/ul>\n<h3><span style=\"color: #333333;\"><strong>Side effects of hormone therapy<\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">Hormone therapy involves blocking the production of vital hormones or interfering with their function. It therefore comes as no surprise that unwanted side effects will be observed. Side effects will depend on the type of hormone which is being affected, whether you are a male or female and on the patient\u2019s general health conditions. Generally, fatigue and nausea will be experienced. For more specific symptoms, talk to your healthcare team.<\/span><\/p>\n<p>[\/et_pb_text][et_pb_text module_id=&#8221;imthera1&#8243; _builder_version=&#8221;4.17.4&#8243; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;2em&#8221; custom_padding=&#8221;20px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2 style=\"text-align: justify;\"><span style=\"color: #333333;\"><strong>Immunotherapy<\/strong><\/span><span style=\"color: #333333;\"><strong><\/strong><\/span><\/h2>\n<p><span style=\"color: #333333;\"><strong><\/strong><\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #333333;\"><strong>What is the immune system?<\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">An <span style=\"color: #3366ff;\"><a href=\"https:\/\/medicallib.co.za\/health-info\/the-body-defense-structure-immune-system-101\/\" style=\"color: #3366ff;\">immune system<\/a><\/span> is the defense system the body has put in place to fight pathogens or anything foreign such as bacteria or virus. Immunodeficiency occurs when the immune system is compromised and does not work properly anymore. Immunodeficiency will expose your body to all kinds of diseases and illnesses. This is how the HIV virus kills his host. The immune system will also destroy any normal cell that is misbehaving such as cancer cells. \u00a0But cancer cells usually have ways to hide away from the immune system or weaken it such that it does not work properly. Immunotherapy essential aims to restore or enhance the immune system so that they can better destroy the cancer cells.\u00a0<\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #333333;\"><strong>The role of immunotherapy in cancer treatment<\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">Immunotherapy will achieve the following outcomes during cancer treatment<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"color: #333333;\">Slows down or completely inhibit cancer cell growth<\/span><\/li>\n<li><span style=\"color: #333333;\">Boost the immune system so that it can better destroy cancer cells<\/span><\/li>\n<li><span style=\"color: #333333;\">Prevent cancer cells from reaching other body parts<\/span><\/li>\n<\/ul>\n<h3 style=\"text-align: justify;\"><span style=\"color: #333333;\"><strong>Immunotherapy strategies<\/strong><\/span><\/h3>\n<ul style=\"text-align: justify;\">\n<li><span style=\"color: #333333;\"><strong>Monoclonal antibodies<\/strong><\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">When the immune system recognizes a substances as foreign or harmful, it produces blood proteins called antibodies which will then go on to destroy the harmful substances. \u00a0Monoclonal antibodies are laboratory produced antibodies that bind to specific markers (antigen) on the surface of cancer cells. Once they bind, they trigger a set of reactions which will eventually kill the cancer cell.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">Radioactive substances may also be attached to monoclonal antibodies such that when they bind to antigens on the surface of the cancer cells, they will release radiation that will kill the cancer cell. Such monoclonal antibodies are called <strong>conjugated monoclonal antibodies<\/strong> and when they are attached to radioactive substances, the treatment is called <strong>radioimmunotherapy<\/strong>.<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"color: #333333;\"><strong>Immune checkpoint inhibitors<\/strong><\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">The immune system uses proteins called checkpoint proteins located on the surface of immune cells (e.g. T-cells) to differentiate between normal and abnormal cells. Cancer cells have the ability to send fraudulent signals to the immune cells to turn on the checkpoint proteins. When this happens the immune system gets confuse and consider cancer cells to be normal cells and as such it would not kill the cancer cells. Immune checkpoint inhibitors are drugs which work by blocking or turning off checkpoint proteins. When this happens, the cancer cells will now be exposed and the immune system will deal with them accordingly.<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"color: #333333;\"><strong>Immunomodulating agents<\/strong><\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">These are drugs which boost or enhance the way the immune system\u2019s ability to responds against cancer. They are used during advanced cancer treatment and to manage side effects. Examples of immunomodulating agents are interleukin 2 (IL-2), interferon alpha (INF-alpha) and cytokins.<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"color: #333333;\" id=\"CV01\"><strong>Cancer vaccines<\/strong><\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">A vaccine is a substances or medicine that protects the body against any disease or pathogen. It does so by training the immune system how to fight the disease or pathogen. Once that pathogen or disease enters your body, the immune system (now well trained against it) will act swiftly to take it out before the disease or pathogen have time to established itself. This is however possible only if you take the vaccine before the pathogen gets to you. Otherwise the pathogen may outsmart your immune system.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">Cancer vaccines are substances that train your body to fight cancer. But they do not do so directly. They either attack any pathogen (or substances) that may cause cancer or enhance the immune system to better differentiate between normal cells and cancer cells. Based on this, there are 2 types of cancer vaccines:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\"><strong>Preventive vaccines:<\/strong> Protects you from viruses that cause cancer. Examples include; <strong>HPV vaccine<\/strong> which protects against the human papilloma virus (HPV). This virus have been reported to cause anal cancer, cervical cancer, vaginal cancer and vulvar cancer; <strong>Hepatitis B vaccine<\/strong> which protects against the hepatitis B virus (HBV). This virus has been reported to cause liver cancer.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\"><strong>Treatment vaccines: <\/strong>It is given to patients who have already test positive for cancer. It tries to kill the cancer directly and not by attacking something that is responsible for causing the cancer. It does so by stimulating and boosting the immune system for it to better distinguish between normal and cancer cells and for it to better kill cancer cells. An example of a treatment vaccine is <strong>sipuleucel-T<\/strong> used to treat metastatic (or advanced) prostate cancer.<\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #333333;\"><strong>Side effects of immunotherapy<\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #333333;\">Because immunotherapy involves manipulation of the immune system, the immune cells could sometimes mistakenly attack normal cells. If normal cells are attacked, then side effects are evident. Side effects will off course depend on several factors such as the patient general health condition, cancer type or the type of immunotherapy used. However, common symptoms such as nausea, fatigue and flu-like symptoms are usually seen. Speak to your healthcare team about any possible side effect based on your situation.<\/span><\/p>\n<p>[\/et_pb_text][et_pb_text module_id=&#8221;clitrial1&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;2em&#8221; custom_padding=&#8221;20px||||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2>Clinical Trials<\/h2>\n<p><span style=\"color: #333333;\">Clinical trials involves participating in treatment options that are still being evaluated for clinical use. It exist in different stages and represent a process through which a drug or method developed in the lab will eventually become usable in humans. This may be your last option as no drug or treatment might be available for your condition. Your doctor will help you determine if you need clinical trial and will also help you find one. In addition,\u00a0 taking part in clinical trial is purely the patient choice and it might either work or not.<\/span><\/p>\n<p><span style=\"color: #333333;\">Generally, clinical trials are research studies which investigate how cancer can be prevented, diagnose and treated and are available for every type or stage of cancer. It also investigates how to manage cancer symptoms, improve quality of life or compare current treatment with a new approach.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><a href=\"https:\/\/medicallib.co.za\/health-info\/signs-and-symptoms-of-cancer\/\" title=\"Previous\">Previous: Signs and Symptoms of Cancer<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><a href=\"https:\/\/medicallib.co.za\/health-info\/cancer-naming-grading-and-staging\/\" title=\"Next\">Next: Cancer Naming, Grading and Staging<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>There exist seven different methods used to treat cancer. This includes Chemotherapy, Targeted therapy, Surgery, radiotherapy, Hormone therapy, immunotherapy, and clinical trials. Chemotherapy uses a chemical substance or drug to obstruct vital processes within the cell including DNA replication, protein synthesis, and metabolic pathways. Targeted therapy uses small molecules, antibodies, or both to target specific [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":454,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<!-- wp:divi\/placeholder \/-->","_et_gb_content_width":"","footnotes":""},"categories":[5,36],"tags":[66,68,64,67,62,65,63,69],"class_list":["post-92","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cancer","category-diseases-conditions","tag-chemotherapy","tag-clinical-trials","tag-hormone-therapy","tag-immunotherapy","tag-radiation-therapy","tag-radiotherapy","tag-surgery","tag-targeted-therapy","et-has-post-format-content","et_post_format-et-post-format-standard"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cancer Treatment - Be Informed and be Healthier %<\/title>\n<meta name=\"description\" content=\"Different treatment methods exist each with their own advantage and disadvantages. 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