Advanced cancer that cannot be cured can often be treated. The physical symptoms it causes can almost always be controlled. The goal of treatment should be clear at any stage of cancer. You should know if the goal is to cure cancer, slow its growth, and help you live longer, or ease its symptoms. Sometimes this can be confusing because some of the treatments used to cure cancer can also be used to slow its growth or ease symptoms.
This is a summary of the common treatments used for advanced cancer.
Treatment options for advanced cancer depend on where cancer started and how far it has spread. As a general rule, cancer that has spread will require systemic therapy such as chemotherapy or hormone therapy. Systemic therapy is a treatment that is administered orally or administered in the blood to reach cancer cells throughout the body. Still, they may also be needed to help prevent or alleviate certain symptoms.
Some people believe that there is nothing left to do if cancer cannot be cured and therefore discontinue all treatment. However, radiation, chemotherapy (and other medications), surgery, and other treatments can often slow cancer growth and help control symptoms. Also, relieving symptoms such as pain, constipation, upset stomach, and vomiting can help you feel better. You can almost always do something to help maintain or improve your quality of life.
The goal of any cancer care is to provide you with the best quality of life possible. You will want to feel as good as possible for as long as possible. This is a very personal matter. Talk to your team of cancer professionals about what’s important to you. Tell them what you want to be able to continue doing. You have the right to make decisions about your treatment planning.
Some people may want to continue cancer treatments for as long as there is a chance that they will be helpful. Other people may decide that the side effects or other problems caused by aggressive cancer treatments outweigh the possible benefits. Therefore, they may no longer want to undergo this type of treatment. This may be difficult for some of your loved ones to accept, but you have the right to make this decision. It often helps to include loved ones in making these difficult decisions. Either way, you must make the decisions that are the best and most realistic for you and your situation.
Surgery for advanced cancer
Surgery is not often used to treat advanced cancer, although it can be helpful in some cases
Surgery to relieve symptoms and improve your life
Surgery can help you feel better and be more active. It can help you live longer, even if cancer has spread too far to be cured. For example, sometimes cancer can block (block) the intestine. This can cause a lot of pain and can be dangerous if the intestine is completely blocked. Surgery may be done to bypass the obstruction or to put a tube through it so that the intestine can work again. Another option is surgery to allow the intestine to drain out of the abdomen into a bag
Surgery to stop the bleeding
Surgery can be done if the cancer is causing bleeding in the stomach, intestine, or airways. Often, the doctor will first identify the source of the bleeding with an endoscope (a thin, flexible tube with a camera inside). The endoscope can be passed through the mouth or through the rectum. (Medications are administered to the patient to help them sleep while the procedure is performed.) The doctor can stop the bleeding by burning the bleeding vessel and closing it with a tool that goes through the endoscope. If this is not possible, surgery to stop bleeding may be an option.
Another way to find a source of bleeding is by using angiography. For this test, a long, thin tube called a catheter is placed in a large artery (such as the one located in the groin) and is led into the arteries of the intestines or lungs. A dye is placed through the tube that allows the doctor to locate the blood vessel that is bleeding. Substances can often be injected through the catheter to stop bleeding.
Surgery to stop the pain
Sometimes a tumor may be pressing on a nerve, causing pain. Pain can be relieved by killing the nerve by injecting a substance, cutting the nerve, or removing the tumor.
Surgery to prevent or treat broken bones
Cancer that spreads to the bones may be weakening them, causing fractures that tend to heal very poorly. If a bone appears weak in an imaging study, surgery may be done to place a supporting metal rod into it to help prevent a fracture. Most often, this is done on the thigh bone. If the bone is already fractured, surgery can ease pain and help a person become more active.
Surgery to treat cancer that compresses the spinal cord
If a tumor is compressing the spinal cord, this can lead to loss of control and muscle function below the tumor level, and sometimes to paralysis. Surgery may need to be done to remove the tumor and stabilize the bones in the spine so that the person can walk and continue to perform.
Ablation techniques for advanced cancer
Placing a needle or tube directly into a tumor and using heat, cold, or a chemical to destroy it is called ablation. It is most often used for cancer that has spread to the bones or liver, although it can also be used in other areas. It is usually used when only a few tumors are causing problems.
A common type of ablation, radiofrequency ablation (RFA) uses a needle that carries an electric current. The end of the needle is placed inside the tumor. Ultrasound or CT can be used to make sure the needle is in the right place. An electrical current passed through the needle heats the tumor to destroy it. RFA is usually done while the patient is under general anesthesia (fast asleep without pain).
In another type of ablation, the probe that was placed in the tumor is used to freeze it, destroying the cancer cells. Other methods could use alcohol to destroy cells or other ways to heat the tumor (such as laser-induced interstitial thermotherapy).
Radiation therapy for advanced cancer
Radiation therapy uses high-energy rays or particles to destroy cancer cells and shrink tumors. In advanced cancer, radiation therapy is often used to shrink tumors to relieve pain or other symptoms. This is called palliative radiation.
Sometimes a combination of different types of radiation is used.
Radiopharmaceuticals are a group of medicines that contain radioactive materials (such as radio-223 or strontium-89) that have been dissolved in liquids and can be administered through a vein. These travel through the blood and are carried to areas of the bone that contain cancer. The radiation released by the drugs destroys cancer cells and relieves bone pain, but does not cure cancer.
If cancer has spread to many bones, this type of treatment may work better than when using external beam radiation, which only treats a small area.
Other radiopharmaceuticals are not only attracted to the bones but can be used to treat certain types of cancer, even when they have spread to other places. For example, radioactive iodine (I-131) can be used to treat most types of advanced-stage thyroid cancer.
Medications to treat advanced cancer
The following is general information about the types of medications that can be used to treat advanced cancer. For more information about medications to treat your type of cancer, read our information on that specific type of cancer.
With chemotherapy (chemo), drugs are used to kill cancer cells. Medications are usually given intravenously or taken orally. Once the drugs enter the bloodstream, they reach the entire body. This treatment is often helpful for cancer that has spread widely. By reducing the size of cancer, symptoms can be alleviated. Even chemotherapy can prolong the life of some people with advanced cancer.
Hormone therapy drugs block the actions of certain hormones or reduce their production. This treatment is most often used for breast and prostate cancer, although it can also be used for some other cancers.
For example, estrogen is a hormone that causes the growth of many breast cancers. Some medications can lower estrogen levels or block the effect of estrogen on breast cancer cells, which could stop their growth and even cause tumors to shrink. In the same way, male sex hormones (called androgens) cause the growth of most prostate cancers. Medications that lower androgen levels or block their effect can help stop or slow the growth of these cancers.
Immunotherapy boosts the body’s immune system or uses synthetic versions of immune system protein to kill cancer cells. There are many types of immunotherapy that are used to treat patients with advanced cancer.
Medicines to treat cancer that has spread to the bones
Some types of medications may be especially helpful if cancer has spread to the bones.
Clinical trials are carefully controlled research studies conducted with patients who volunteer to participate. If you are interested in participating in a clinical trial, start by asking your doctor if clinical trials are conducted in the clinic or hospital where you work. You can also contact our clinical trial compatibility service for a list of clinical trials that meet your medical needs. This service is available by calling 1-800-303-5691.
Clinical trials are one way to access the most advanced cancer care. In some cases, they may be the only way to gain access to newer treatments. It is also the only way for doctors to learn better methods of treating cancer. However, they are not suitable for all people..
Mystery of Fibroids!
Do you know that 80% of all women develop fibroids till the age of 50, although, most of them remain asymptomatic? If fibroids are this much common, you must have some knowledge about this disease. So,
What are fibroids?
Fibroids are basically abnormal growth in the female uterus.
It is the most common occurring benign tumor of the female genital tract but it does not receive that much ‘respect’ probably because its clinical incidence is almost half of its histological incidence.
What are the types of fibroids?
It can be subserosal, intramural, or submucosal if it is present outside on the surface of the body; in the middle/muscular layer; or inside just below the mucosa, of the uterus, respectively.
Subserosal fibroids are termed as pedunculated if they grow with a stalk-like projection.
What are the causes of fibroids?
Causes of fibrosis are not that much clear, however, following fit the best;
- Mostly due to high levels of estrogen and progesterone in the body. (These hormones are involved in the regeneration of uterus lining after menstruation, and that’s why their excess production causes abnormal growths in the uterus.)
- Genetics. fibroids run in families
- Deficiency of micronutrients like vitamin D (as it inhibits cellular proliferation and extracellular matrix production in fibroids)
What puts you at risk of fibroids?
You may be at risk if you have,
- >30 years of age
- Positive family history
- Vitamin D deficiency – etc.
What are the symptoms?
It depends…. If you have submucosal fibroids, you may experience profuse menstrual bleeding. On the other hand, if growths are small or developed after menopause, you may remain asymptomatic.
Symptoms may include,
- Heavy menstrual bleeding
- Prolonged menstrual phase
- Pelvic pain
- Menstrual cramps
- Pain during intercourse
- Frequent micturition (urination)
So, if you are in your 40s, and are having abnormally prolonged and profuse menstruation with pelvic pain, go see your doctor. You may have fibroids.
How are the fibroids diagnosed?
Gynecologists can diagnose fibroids on pelvic examination but they may need more test for confirmation like,
- Magnetic Resonance Imaging (MRI) of the pelvis – it gives a clearer picture of the condition of the uterus, as well as other pelvic organs like ovaries, etc.
How to treat fibroids?
Treatment options relate to the severity of symptoms but medications are typically the first line of therapy while invasive surgery is definitive but should be last resort.
- For suppressing the symptoms of fibroids, you can take anti-inflammatory drugs (like ibuprofen), pain killers, etc.
- For shrinking fibroids, you can use Gonadotropin-Releasing Hormone (GnRH) agonist as well as the antagonist which acts by reducing estrogen/progesterone levels, and decreasing production of FSH/LH, respectively.
If medications are not giving good results or the fibroids are large, surgeons perform,
- Myomectomy – limited removal of the uterus, typically only the muscular layer
- Hysterectomy – complete removal of the uterus in which case, you will not be able to bear a child again.
- Minimally invasive: Uterine fibroid embolization
- A newer treatment option that is gaining traction and involves targeted blood flow reduction of fibroid leading to its shrinkage and ultimate expulsion from the body.
- This therapy is now available in an office setting as well in select geographies. Five Clinics, specializing in the treatment of Fibroids and Veins is one such center in central Ohio delivering this cutting edge treatment in an office. More information at www.fiveclinics.com
1)National Uterine Fibroids Foundation. (2010). Retrieved July 22, 2020, from http://nuff.org/health_statistics.htm
2)Okolo, S. (2008). Incidence, etiology, and epidemiology of uterine fibroids. Best practice & research Clinical obstetrics & gynecology, 22(4), 571-588.
3)Baird, D. D., Hill, M. C., Schectman, J. M., & Hollis, B. W. (2013). Vitamin D and risk of uterine fibroids. Epidemiology (Cambridge, Mass.), 24(3), 447.
Traps to avoid if you are considering Coolsculpting singapore to freeze fat.
Imagine passing a high end branded watch, and at only a fraction of the regular retail price, will you ever think it might be a replica?
High fashion houses produce four seasons of Haute couture annually, and it sets itself to compete replicas flooding in the small lanes in some countries and online shops. It is usual for any consumer to consider it worthy of purchasing it. The worst that could happen will be embarrassing, to be discovered wearing a fake branded watch. The same could not be said for aesthetic beauty treatments. The damage might not just be a loss of face, but rather it is about the efficacy, the safety standards and ultimately, your health.
CoolSculpting Singapore is an FDA-approved, non-invasive treatment to carefully and successfully minimize Fat in targeted locations such as the lower abdominal area and love deals with by using sophisticated innovation by zeltiq USA. Fat freezes at a lower temperature level than skin, muscles and surrounding tissues and this is the core science behind the innovation of fat freezing understood clinically as cryolipolysis.
The Fat merely does not break down as anticipated.
You might end up with lumpiness over the dealt with locations if the freezing is not done evenly.
If the temperature level is chillier than meant, you might experience cold burns of the overlying skin, an issue not seen with the initial Coolsculpting innovation due to its integrated security system and strenuous screening before it was even introduced for public intake.
Double sculpting drastically minimizes clients’ time invested for the treatment procedure, enabling them to get their fat decrease treatment and accomplish their body shaping improvement even more rapidly. As even smaller sized frame women are not immune to undesirable persistent pockets of Fat, we have included the freshly established CoolAdvantage Petite applicators to provide us with the total collection, resolving the differing shape shaping requirements of anybody, regardless of shape or size.
CoolSculpting was very first authorized by the FDA for the treatment of targeted weight loss in 2010 and is readily available at Dr Cindy’s Medical Aesthetics since 2012. Our CoolSculpting therapists have been extensively trained by cool sculpt with a continuing upgrade of understanding to much better satisfy your fat freezing requirements. Besides, complementary shape forming techniques are readily available at our centre to improve the outcomes of your body contouring efforts.
To boost the result of CoolSculpting, reducing the healing duration with much better outcome evident previously, CoolSculpting Plus integrates CoolSculpting with X-Wave, an FDA authorized treatment from Zeltiq. X-Wave is carried out instantly over the cured location( s) with an add-on benefit, using acoustic shockwaves treatment to boost lymphatic drain and slow blood flow for much better removal and metabolic process of the passing away fat cells.
Backed up by clinical research studies and checked by medical professionals, X-Lift engages the FDA authorized Exilis Ultra 360 system to supply an innovative, non-surgical option to raise and tighten up drooping, loose skin over a location( s) treated with CoolSculpting. By engaging a distinct mix of ultrasound waves and radiofrequency (RF) to warm up skin to different depths methodically, X-Lift body increases the outcomes attainable with CoolScultping alone, leading to both fat decrease and skin tightening up. Circumferential decrease, cellulite smoothening and textural gains are a few of the reported advantages with constant usage.
Dr Cindy’s Medical Aesthetics is inducted as a member of “CLUB 200” by the certified principal. This honour acknowledges centres that finished 500 or more cycles of CoolSculpting treatments in the year 2019 alone.
CoolSculpting Freeze and Expel Fat.
CoolSculpting Singapore is an FDA-approved, non-invasive treatment to carefully and successfully decrease Fat in targeted locations such as the lower abdominal area and love manages by using sophisticated zelitiq from USA. Fat freezes at a lower temperature level than skin, muscles and surrounding tissues and this is the core science behind the innovation of fat freezing understood clinically as cryolipolysis. Double sculpting drastically minimizes clients’ time invested for the treatment procedure, permitting them to get their fat decrease treatment and accomplish their body, shaping change even more rapidly. The FDA very first authorized CoolSculpting for the treatment of targeted fat loss in 2010. Our CoolSculpting therapist consists of nurses and medical professionals trained and licensed with a continuing upgrade of understanding to much better fulfil your fat freezing requirements.
As our body contouring slogan states all of it -” If you can pinch it, we can cool sculpt it.”.
The Difference Between Anti-Wrinkle Injections & Fillers
Aging is a natural phenomenon that every human being has to go through. It is an inevitable process that pushes you into a new phase of life. However, the one factor of aging which no one is fond of is its effect on the skin.
As you age, your skin, which is the largest organ of the human body, undergoes a significant change. A few instances of these changes include sagging skin, wrinkles, and the loss of skin volume and elasticity.
Though you cannot stop aging, you can surely make aging look good on you by going for anti-aging treatments available in the market today. When it comes to anti-aging treatments, the most prominent treatment options are anti-wrinkle injections and fillers. They are the first choice of many seasoned dermatologists for two simple reasons- they are non-intrusive and involve no downtime for the patient.
However, this doesn’t mean that they are the same things as they both are used to tend to different aging problems. Before we dive into their differences, let us first understand them in detail:
Anti-wrinkle injections work their magic by relaxing the muscles of the face that are responsible for giving way to lines and wrinkles. When injected, the purified proteins in them stop the chemical signals from the nerves that are responsible for muscle contraction. With no movement of these muscles, the wrinkles are toned down and reduced.
They provide good results over a period of time and hence, are one of the most prominent anti-aging treatments in the world today. Here are a few more pointers about this treatment:
- The results of this injection are short-term and last for about 3-4 months.
- Regular touch up sessions are required to maintain the acquired results.
The use of these injections is not recommended if the patient has delicate facial muscles.
Also referred to as dermal fillers, the primary objective of filler treatment is to revitalise the fullness and volume of the face. The most common applications of fillers are in punctured cheeks, hollows under the eyes, and in folds around the mouth.
These fillers mostly use hyaluronic acid, which is also naturally produced by our bodies. This acid aims to keep the skin hydrated and maintain its volume. However, with aging, the production of this acid reduces.
After the filler treatment, the skin gets revitalized with elasticity, hydration, and volume. Some more important facts about this treatment are:
- The results of dermal fillers last for about 2 years or more.
- Regular touch up sessions is only required after 2 years or more, as the case may be.
Now, since you know what these treatments are and what they do, let’s come on to the main question:
What is the difference between anti-wrinkle injections & fillers?
If you read about anti-wrinkle injections and fillers in the details above, you can effortlessly sort out the differences between these treatments. But the most straightforward way to spell out the difference between anti-wrinkle injections and fillers is:
The anti-wrinkle injections are used to relax muscles and reduce wrinkles, while fillers are used to restore skin volume and amplify features.
Other differences between anti-wrinkle injections & fillers include:
- Anti-wrinkle injections use a purified form of protein, while fillers use hyaluronic acid.
- The effects of anti-wrinkle injections last for 3 to 4 months, while the effects of fillers last for up to 2 years or more.
- Anti-wrinkle injections require regular touch-ups, while filler injections don’t.
Whether you choose anti-wrinkle or filler injections, they both provide several benefits to their users. The effectiveness of both these treatments depends upon your dermatologist.
Get the best treatments for all your skin problems from the city’s best dermatologists to get your treatment done to ensure that your appearance is in good hands!
Umar Nisar was born and raised in the busy city of Tennessee. As a journalist, Umar Nisar has contributed to many online publications including USA Today and the Huffing Post. In regards to academics, Umar Nisar earned a degree in business from the University Of Texas and a master’s degree from the University of Tennessee. Umar Nisar follows the money and covers all aspects of emerging tech here at The Hear Up.
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