Treatments

At Pantai Hospital Kuala Lumpur, the team of clinical oncologists work hand-in-hand with other healthcare professionals—surgeons, physicians, nuclear medicine physicians, medical physicists, radiography therapists, pathologists, specialised oncology nurses, counselors, dieticians, and pharmacists to provide patients a holistic approach in the prevention, screening, diagnosis, treatment, palliation and psycho-social care.

With advances in medical technology, there are now many treatment options available for cancer, including:

Radiotherapy

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Radiotherapy, also known as radiation therapy, uses focused, high-energy x-ray beams to destroy and damaged cancer cells by destroying the genetic material that controls cancer cells to grow and divide. Cancer cells begin to die days or weeks after treatment starts and continue to die for weeks or months after it finishes.

Among the benefits of Radiotherapy are:

  1. Tumour Shrinkage and Control
  2. Radiotherapy effectively reduces the size of tumours, controlling their growth and preventing further spread.

  3. Remission and Curative Potential
  4. Radiotherapy is applied with the goal of achieving a curative outcome, leading to remission by targeting and eliminating cancer cells.

  5. Palliative Symptom Relief
  6. Radiotherapy provides palliative care by relieving cancer-related symptoms, such as pain, bleeding, or obstruction, through targeted tumour reduction.

  7. Enhancing Treatment Outcomes with Combined Therapies
  8. Radiotherapy enhances the overall effectiveness of other treatments, such as surgery and chemotherapy, leading to improved outcomes.

Chemotherapy

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Chemotherapy is a widely used anti-cancer treatment that employs drugs to destroy cancer cells or slow their growth. It is effective for treating a variety of cancers, either alone or in combination with other treatments like targeted therapy/ immunotherapy, surgery and radiation therapy.

Many different chemotherapy drugs are available. Chemotherapy drugs can be used alone or in combination to treat a wide variety of cancers.

There are a variety of settings in which chemotherapy may be used in people with cancer:

As a primary treatment: Chemotherapy may be the sole treatment to cure the cancer without other therapies.

Adjuvant therapy: After treatments like surgery, chemotherapy can target and kill any remaining hidden cancer cells.

Neoadjuvant therapy: Chemotherapy can help shrink tumors before other treatments such as surgery or radiation, making them more effective.

Palliative chemotherapy: In cases where curing the cancer is not possible, chemotherapy may help relieve symptoms by reducing the cancer's size.

Chemotherapy for conditions other than cancer

Some chemotherapy drugs have proved useful in treating other conditions, such as:

Bone marrow diseases. Diseases that affect the bone marrow and blood cells may be treated with a bone marrow transplant, also known as a stem cell transplant. Chemotherapy is often used to prepare for a bone marrow transplant.

Immune system disorders. Lower doses of chemotherapy drugs can help control an overactive immune system in certain diseases, such as lupus and rheumatoid arthritis.

Risks and Side Effects

Chemotherapy works by killing rapidly dividing cancer cells. As it wipes out cancer cells, it also can destroy fast-growing healthy cells, which may cause side effects.

Lower blood cell production.

Your bone marrow's ability to make blood cells might decrease and cause:

  • anemia
  • bleeding
  • susceptibility to infections- You may make fewer white blood cells, which protect your body from infections. An elevated body temperature may be the earliest sign of an infection.

Gastrointestinal symptoms

  • Diarrhea
  • Nausea and vomiting
  • Constipation
  • Hair loss
  • Mouth ulcer

Immunotherapy

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Introduction

Immunotherapy is a ground-breaking approach to cancer treatment that harnesses the body's immune system to recognise and destroy cancer cells. Unlike chemotherapy and radiotherapy, immunotherapy boosts the immune system's natural defenses to fight the cancer cell.

Benefits

Durable Response: It can lead to long-lasting remissions by providing a sustained immune response against cancer.

Versatility: Effective against various types of cancers, including melanoma, lung cancer, kidney cancer, and certain leukaemia and lymphomas.

Risks and Side Effects

Immune-Related Side Effects: Immunotherapy can cause inflammation in healthy tissues, leading to side effects like skin rash, fatigue, diarrhea, and liver inflammation.

Variable Response: Not all patients respond to immunotherapy, and its effectiveness can vary depending on the type of cancer and the individual.

Hormonal Therapy

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Hormonal therapy interferes with the hormones that fuel the growth of certain types of cancers, such as breast and prostate cancers. Hormonal therapy is commonly used in hormone receptor-positive breast cancer, prostate cancer, and other hormone-sensitive tumours.

Targeted Therapy

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Targeted therapy uses drugs that specifically target the molecular or genetic abnormalities that drive cancer growth. Targeted therapy is often used in cancers with specific genetic mutations, such as HER2-positive breast cancer or BRAF-mutant melanoma.

It is important to work closely with a healthcare professional to determine the best course of cancer treatment for your specific type of cancer.Often, a combination of treatments is used to achieve the best outcomes. Additionally, supportive care, including pain management, nutritional support, and psychosocial care, is an essential part of cancer treatment to address the overall well-being of the patient. Treatment decisions are typically made collaboratively between the patient and the healthcare team.

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