Can radiation therapy and chemotherapy be done together?
Hello, Director Lai.
I have a matter I am unsure about.
My wife was diagnosed with stage 3 breast cancer, which recurred three years later and metastasized to the lymph nodes on the other side.
After two years of chemotherapy, targeted therapy, and immunotherapy, none of the treatments have been effective, and she has exhausted all available medications.
After two recent examinations, one showed a borderline result, and the latest one was negative.
Currently, she is receiving treatment with cranberry liposomes and a cancer treatment called "Cancer Star." Yesterday, during a doctor's visit, we learned that the tumor is 4 cm, with several small nodes near the clavicle.
Experimental drugs have not been approved due to the last examination being negative.
She is scheduled for chemotherapy on Monday and radiation therapy on the 18th, which is just 12 days apart.
If she skips chemotherapy, I worry that cancer cells may spread, and if she waits over a month for radiation therapy, she has already used all chemotherapy drugs.
I am at a loss about what to do.
Please help me understand what the best course of action is.
Thank you, Director.
Mr. Li, 50~59 year old female. Ask Date: 2018/04/07
Dr. Lai Yicheng reply Oncology
Dear Mr.
Lee,
Regarding your question, radiation therapy and chemotherapy can be administered simultaneously.
It is important to take advantage of the optimal treatment window and not delay therapy any further.
If you experience any side effects during the treatment process, please discuss ways to manage them with your attending physician.
Thank you for reaching out for consultation.
Sincerely,
Dr.
Lai Yi-Cheng
Department of Radiation Oncology
Changhua Hospital
Reply Date: 2018/04/07
More Info
Combining radiation therapy and chemotherapy is a common practice in cancer treatment, and it can be an effective strategy depending on the specific circumstances of the patient and the type of cancer involved. In your wife's case, who has been diagnosed with stage III breast cancer that has metastasized to the lymph nodes, the treatment plan must be carefully considered.
Radiation therapy and chemotherapy can be administered concurrently or sequentially, depending on various factors, including the type of cancer, the stage of the disease, the specific drugs being used, and the overall health of the patient. The goal of combining these treatments is to maximize the effectiveness of cancer treatment while minimizing the risk of recurrence.
In many cases, chemotherapy is used to shrink tumors or eliminate cancer cells throughout the body, while radiation therapy is often employed to target specific areas, such as the site of the primary tumor or areas where cancer has spread. This dual approach can be particularly beneficial in aggressive cancers, such as breast cancer, where there is a risk of metastasis.
In your wife's situation, it is crucial to maintain a balance between the timing of chemotherapy and radiation therapy. The concern about delaying either treatment is valid, as there is a risk that cancer cells could proliferate if treatment is postponed. However, the decision to proceed with chemotherapy or radiation therapy should be made in consultation with her oncologist, who can assess her specific condition, the response to previous treatments, and the potential side effects of combining therapies.
It is also important to consider the potential side effects of both treatments. Chemotherapy can weaken the immune system, making the patient more susceptible to infections, while radiation therapy can cause localized side effects, such as skin irritation and fatigue. The oncologist will monitor these effects and may adjust the treatment plan accordingly to ensure the patient's safety and comfort.
In your wife's case, since she has undergone extensive treatment without significant improvement, it may be necessary to explore alternative therapies or clinical trials that could offer new options. The use of experimental drugs or targeted therapies may provide additional avenues for treatment, especially if traditional chemotherapy has not yielded the desired results.
Ultimately, the decision regarding the timing and combination of chemotherapy and radiation therapy should be made collaboratively between the patient, her family, and her healthcare team. Open communication with her oncologist is essential to address any concerns and to ensure that the treatment plan aligns with her health goals and preferences.
In summary, radiation and chemotherapy can be effectively combined in cancer treatment, but the specific approach should be tailored to the individual patient's needs. It is crucial to work closely with the healthcare team to determine the best course of action and to remain vigilant about any changes in the patient's condition.
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