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    Radiation therapy

    Radiotherapy

    Radiation therapy uses high-powered x-rays, particles, or radioactive seeds to kill cancer cells.

    Information

    Cancer cells multiply faster than normal cells in the body. Because radiation is most harmful toquickly growing cells, radiation therapy damages cancer cells more than normal cells. This prevents the cancer cells from growing and dividing, and leads to cell death.

    Radiation therapy is used to fight many types of cancer. Sometimes, radiation is the only treatment needed. It may also be used to:

    • Shrink a tumor as much as possible before surgery
    • Help prevent the cancer from coming back after surgery or chemotherapy
    • Relieve symptoms caused by a tumor
    • Treat cancers that cannot be removed with surgery

    TYPES OF RADIATION THERAPY

    External beam radiation is the most common form. This method carefully aims high-powered x-rays or particles directly at the tumor from outside of the body.

    Internal beam radiation is placed inside of your body.

    • One method uses radioactive seeds that are placed directly into or near the tumor. This method is called brachytherapy, and is used to treat prostate cancer. It is used less often to treat breast, cervical, lung, and other cancers.
    • Another method involves receiving radiation by drinking it, swallowing a pill, or through an IV. Liquid radiation travels throughout your body, seeking out and killing cancer cells. Thyroid cancer and some types of lymphoma may be treated this way.

    SIDE EFFECTS OF RADIATION THERAPY

    Radiation therapy can also damage or kill healthy cells. The death of healthy cells can lead to side effects.

    These side effects depend on the dose of radiation, and how often you have the therapy. External beam radiation may cause skin changes, such as hair loss, red or burning skin, thinning of skin tissue, or even shedding of the outer layer of skin.

    Other side effects depend on the part of body receiving radiation:

    • Abdomen
    • Brain
    • Breast
    • Chest
    • Mouth and neck
    • Pelvic (between the hips)
    • Prostate

    References

    Perry MC. Approach to the patient with cancer. In Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 182.

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            Review Date: 6/5/2012

            Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Yi-Bin Chen, MD, Leukemia/Bone Marrow Transplant Program, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.

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