Surgical and Radiation Therapy

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Surgical and RadiationTherapies

Mark Joseph S. Tunac, RN

Cryotherapy
Cryotherapy is a type  Cryotherapy may be of surgery that used to treat cancers destroys cancer cells of the skin, liver, by freezing them. cervix, prostate, bone, lung and for various pediatric cancers.

Ablation


Ablation is a minimally invasive technique that that destroys tumors without removing them. Ablation is often used for patients with a few small tumors when surgery is not a good option. This type of treatment may be done as an outpatient or require a brief overnight stay.  Ablation may be used as a treatment for cancers of the hepatobiliary system, including the liver, pancreas and gallbladder.

Types of Ablation


Cryoablation Microwave ablation





Radiofrequency ablation

Cryoablation


Cryoablation (percuta neous) is a minimally invasive treatment option for patients whose tumors cannot be removed by surgery or are at highrisk for surgical complications.

Microwave ablation


Microwave antennae are inserted into the target lesion under imaging guidance. The microwaves create a well-defined zone of thermal ablation around each antenna.

Radiofrequency ablation
This type of ablation kills cancer cells by heating and destroying them. Physicians insert a thin needle guided by (CT) or ultrasound throu gh the skin and into the tumor.

CyberKnife
CyberKnife® is one of several different types of radiosurgery that uses the extremely focused beams of radiation to treat cancerous tumors without actually needing to cut into the body. CyberKnife is most frequently used to treat brain tumors

da Vinci®
Building on the techniques for laparoscopic surgery , the surgical tools inserted into the patient through the ports are connected to robotic arms rather than held by the surgeon.

da Vinci®
Prostate cancer  Uterine cancer  Lung cancer  Head and neck cancers  Laryngeal cancer  Pharyngeal cancer  Thyroid cancer  Tongue cancer  Tonsil cancer


Embolization
Embolization is a minimally invasive therapy to block a blood vessel. It is commonly used to stop bleeding as well as to stop blood flow to a tumor in order to shrink it or in preparation for removal.  Different types of embolization are used for tumors in specific areas of the body. The following are most often used on tumors affecting the liver, bile duct, panc reas and liver.


Types of Embolization


Bland embolization Chemoembolization (LC Beads®)





Portal vein embolization
Radioembolization and selective internal radiation therapy (SIRT)



Bland embolization


a treatment option for liver cancer patient s where the tumors cannot be removed by surgery because of their location or number of tumors. This can treat tumors that have originated in the liver and tumors that spread from other sites (colon or breast). Through a catheter, small particles are injected to prevent blood flow to the tumor.

Chemoembolization (LC Beads®)


beads are injected into the vessels to block the blood flow to the tumor, causing it to shrink over time.

Portal vein embolization


a procedure that blocks the flow of blood to an area of the liver. Tiny particles are injected into the vein and this blockage redirects the blood flow to the side of the liver that is not being embolized allowing for surgery to be possible.

Radioembolization and selective intern al radiation therapy (SIRT)


delivers radiation directly to the tumor through millions of microscopic radioactive spheres, called SIR-Spheres® or TheraSpheres®, where they destroy the tumor by depositing millions of tiny radioactive emitters around the tumor nodules in the liver. These particles act like local radiation therapy directly to the tumors , with very few side effects.

Endoscopic retrograde cholangiopancr eatography (ERCP)
It combines combines X-ray imaging and the use of an endoscope (a long, flexible, lighted tube) to diagnose and treat problems in the liver, gallbladder, bile d ucts and pancreas.

ERCP may be used to help diagnose these types of cancer: • Liver cancer • Gallbladder cancer • Bile duct cancer • Pancreatic cancer

Gamma Knife®
Gamma Knife® technology is a type of radiation treatment known as stereotactic radiosurgery that destroys the tumor without opening the skull as in traditional open surgery.



The therapy is most often used to treat brain tumors and has been in popular use for nearly half a century.

Image-guided radiation therapy


Image-guided radiation therapy (IGRT) is a type of external radiation therapy that d elivers precisely targeted radiation to tu mors and reduces exposure to the surro unding healthy tissues.

Image-guided radiation therapy
TomoTherapy™  Cancers of the sinus and pharynx, certain brain tumors, prostate cancer and difficult cancer recurrences, especially after prior radiation therapy, often respond well to TomoTherapy. Trilogy  Breast cancer  Lung cancer  Prostate cancer  Kidney cancer  Liver cancer  Colon cancer

Tomotherapy

Trilogy

Thank you.

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