Risk vs. Treatment

Acknowledging the risk: Why use something that could potentially cause cancer, to treat cancer?

Let's first answer the question: What is cancer?
In short, it is a disease in which "some of the body's cells begin to divide without stopping and spread into surrounding tissues." Of course, there are many different types of cancers (tumors, blood cancer, etc.) that have specific effects, but the overall idea is that there are cells that are multiplying and affecting the natural orderly process of the body thus negatively affecting the person's overall health.

So, the answer to the original question "why?" is that because x-rays and and gamma rays are capable of killing living cells and organisms, one could use that power to kill the living cancer cells that are invading the body.

However, it goes without saying that the risk is still there and so it is obviously still taken into consideration when a doctor suggests to use such treatment. And of course, at the end of the day it is still the patient's decision to make.

Words from the American Cancer Society:
    "It has been long known that radiation therapy can slightly raise the risk of  getting another cancer. It's one of the possible side effects of treatment that doctors have to think about when they weigh the benefits and risks of each treatment. For the most part, the risk of a second cancer is small and is outweighed by the benefit of treating the cancer, but the risk is not zero. This is one of the many reasons each case is different and each person must be part must be part of deciding which kind of treatment is right for them.
    
If [the patient's] cancer care team recommends radiation treatment, it's because they believe that the benefits [the patient] will get from it will outweigh the possible side effects. Still, this is [the patient's] decision to make."



Weighing the options: What can the treatment do?
  • Cure or shrink early-stage cancer

    If the cancer is sensitive enough or in an early enough stage, radiation or surgery could be the only thing needed to treat the cancer. But sometimes radiation is preferred because it can cause less damage and the organ may be more likely to work the way it should after treatment.
    Even if radiation treatment might not be the only treatment needed, it can also help shrink the cancer (like a tumor) to make a surgery procedure more effective (aka pre-operative therapy).

  • Stop the cancer from coming back somewhere else

    Radiation therapy can also be used after a surgery to help keep the cancer from coming back (aka adjuvant therapy).
    In other cases, because can spread to other parts of the body, doctors often assume that a few cancer cells might have already spread to places they can't see on imaging scans like CT scans or MRI's. So, sometimes they might treat a part of the body, where the cancer most often spreads to, with radiation to kill any cancer cells before they grow into tumors.

  • Treat symptoms caused by advanced cancer

    Unfortunately there are times when a cancer has spread so much that it is too difficult to cure, but the treatment can still be used to shrink some of the tumors so that the patient can feel better. Radiation treatment can help relieve problems like pain, trouble swallowing or breathing, or bowel blockages (aka palliative radiation).

  • Treat cancer that has returned

    Radiation can also be used if a person's cancer has returned. However, the use of this treatment in this situation can depend on previous treatments, for example if the cancer returned in a part of the body that has been treated with radiation before, it will be less likely to decide to treat that same location with radiation again. But that decision could also depend on the amount of radiation that was used in the previous time.




Radiation symbol
https://upload.wikimedia.org/wikipedia/commons/thumb/b/b5/Radioactive.svg/2000px-Radioactive.svg.png
And lastly, in case anyone started wondering if the patient becomes radioactive from radiation therapy, the answer is: No, they do not.
"Because there's no radiation source in [the human] body, [the patient] is not radioactive at anytime during or after treatment."

 

  Prev. | Title | Next