In order to help the healthy cells recover from the radiotherapy, after five days of treatment a patient will often have two days without the treatment.
Radiotherapy may be used as a curative treatment, by which the aim is to completely cure the cancer and destroy the tumor. When used as a curative treatment, the treatment may go on for an extended period of time, depending on the size and location of the tumor. As a palliative treatment, the aim is to relieve symptoms of the cancer. This is not usually done for an extended period of time, but rather done in one day or several days. As a neoadjuvant treatment, the aim of radiotherapy is to shrink a tumor, or help prevent it from spreading, in conjunction with surgery. As an adjuvant treatment, it is used after surgery to prevent trace amounts of the tumor not removed by surgery from developing. When chemotherapy is used as total body irridation, it is used to destroy bone marrow cells. After these are destroyed, new marrow cells are implanted, either from the patient's own body or from a donor.
While external radiotherapy is normally performed as an outpatient procedure, internal radiotherapy is more often an inpatient procedure. Implants may be metal tubes, seeds, or wires, which are placed internally near the site of the tumor. Tubes and wires will be removed after a period of time, however some seeds are not removed because they stop being radioactive after a short period of time. Internal radiotherapy may also be done through liquids, such as a drink, injection into the vein, or injection directly into the tumor. Often a patient must be hospitalized for days after internal liquid radiotherapy due to the dangers of radioactivity which will escape the body, but some types of treatments are low-dose enough that it is safe to go home immediately. The danger of radioactivity to non-patients is a concern, so patients and their belongings are tested for radioactivity before leaving the hospital after a treatment. After some radiotherapy treatments, even when the patient is allowed to leave the hospital, he or she may be advised to stay away from children and the elderly due to residual radioactivity.
Radiotherapy has many of the same side effects as other cancer treatments. These side effects include:
The skin looking darker, as if tanned
The skin feeling leathery or different
Hair being a different color or texture after growing back
Permanent hair loss in some areas
Broken blood vessel marks
Loss of stretchiness in the skin or other tissues
Fluid blockage to the arms or legs
Infertility (Cancerhelp)
The loss of elasticity in the tissues is called radiotherapy fibrosis. This fibrosis can in and of itself cause a variety of problems throughout the body, depending on the site of the cancer and treatment. For example, if treatment is in the bladder or in the area of the bladder, the bladder may hold less urine, and the patient may need to use the restroom more often. In the case of breast cancer treatment, the breast may feel harder to the touch and may not appear identical to the other breast due to the changes from treatment. In the case of vaginal cancer, or cancer in that vicinity, there may be a loss of stretchiness of the vagina. It may also become narrower and interfere with sexual activity. Swelling in the arm or leg after shoulder or groin surgery is normal, though fluid buildup must be monitored in case of a serious problem. Lung or chest treatment can lead to problems such as difficulty breathing, as the lungs are prone to losing elasticity. Throat treatment may cause problems with the esophagus, such as difficulty swallowing. A complication of fibrosis is that it can take months or even years for the symptoms to occur. This means that problems may show up unexpectedly and cause lasting pain and discomfort, after a patient has decided he or she is finally free of the pain of cancer. The lungs in particular are susceptible to problems with fibrosis, and this can seriously complicate the breathing problems that are inevitable after having lung cancer. Pneumonitis may also develop over months or years following lung treatment, which is a serious lung condition appearing in about ten percent of patients. This is a progressive disease that includes shortness of breath and coughing. (Cancerhelp)
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