Breast Cancer Radiotherapy

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Procedure Description

Breast cancer radiotherapy is a treatment method that uses high-energy radiation to target and destroy cancer cells. The goal of radiotherapy is to reduce the risk of recurrence by eradicating any remaining cancerous cells following surgery, chemotherapy, or both. Radiotherapy can also be employed to shrink tumors before surgery or as a palliative measure in advanced stages of cancer.

There are two primary types of breast cancer radiotherapy: external beam radiotherapy (EBRT) and internal radiotherapy. In EBRT, a machine called a linear accelerator directs radiation at the affected area, targeting cancer cells while minimizing damage to surrounding healthy tissues. EBRT is the most commonly used form of radiotherapy for breast cancer patients.

In some cases, internal radiotherapy, also known as brachytherapy, is used. In this approach, radioactive seeds or sources are temporarily placed inside the breast tissue near the tumor site. Brachytherapy allows for a higher dose of radiation in a more localized area and is often used in early-stage breast cancer patients following a lumpectomy.

Radiotherapy is a precise and controlled treatment. Before the actual procedure, a thorough planning session, called simulation, is conducted to determine the exact location for treatment. Imaging technologies such as CT scans help guide the process, ensuring radiation is directed to the correct areas, maximizing effectiveness while minimizing side effects.

Procedure Duration

The duration of breast cancer radiotherapy depends on the type and stage of cancer, as well as the specific treatment plan recommended by the oncologist. Generally, patients undergo radiotherapy for several weeks, with sessions typically scheduled five days a week.

  • EBRT Duration: For external beam radiotherapy, the standard treatment regimen lasts between three to six weeks, with daily sessions lasting about 15-30 minutes. During each session, patients are positioned carefully to ensure radiation targets the precise area. The actual radiation exposure time is brief, often less than five minutes, but positioning and setup may take longer.
  • Brachytherapy Duration: Internal radiotherapy treatments are generally shorter. High-dose-rate brachytherapy may be delivered in five to ten sessions over a one-week period. Each session can last 30 to 60 minutes, and the radioactive material is removed after each session. In some cases, low-dose-rate brachytherapy, which involves the placement of radioactive seeds that remain in the body for a longer duration, can be used.

Recovery after radiotherapy can vary depending on the individual. Side effects such as skin irritation, fatigue, and mild swelling of the breast are common but tend to subside within a few weeks after treatment. Most patients can return to their normal activities shortly after each session, but it's essential to rest as needed and follow the oncologist’s guidance on post-treatment care.

Benefits

Breast cancer radiotherapy offers numerous benefits, including:

  • Improved Local Control: Radiotherapy helps reduce the likelihood of cancer recurrence in the breast, chest wall, or lymph nodes.
  • Non-Invasive Treatment: External radiotherapy is a non-invasive option that does not require surgery or incisions.
  • Targeted Approach: Advanced technology ensures radiation targets only cancer cells, minimizing damage to surrounding healthy tissue.
  • Complementary to Other Treatments: Radiotherapy can be used alongside surgery, chemotherapy, or hormonal therapy, enhancing overall treatment effectiveness.
  • Palliative Care Benefits: In advanced stages, radiotherapy can relieve symptoms, such as pain and swelling, improving the patient’s quality of life.

Potential Destinations

Many countries around the world are recognized for their advanced breast cancer radiotherapy treatments. Below are five destinations known for offering high-quality care:

  • United States: With state-of-the-art technology and leading cancer centers, the U.S. offers some of the most advanced radiotherapy options. Patients benefit from cutting-edge equipment and highly specialized medical teams.
  • Germany: Renowned for its precision in medical treatments, Germany offers world-class radiotherapy services. The country is home to many cancer centers that utilize innovative techniques, including image-guided radiotherapy (IGRT) and stereotactic body radiotherapy (SBRT).
  • India: Known for its affordability and high-quality healthcare, India has become a popular destination for medical tourists seeking breast cancer treatment. Many hospitals are equipped with advanced radiotherapy technologies and offer personalized care plans at a fraction of the cost in Western countries.
  • Turkey: Turkey's hospitals are accredited by international organizations and offer comprehensive breast cancer treatment, including radiotherapy. With modern facilities and expert oncologists, Turkey is an ideal destination for medical tourists.
  • Thailand: Thailand is a leader in medical tourism, offering affordable radiotherapy treatments without compromising on quality. The country’s hospitals are known for their state-of-the-art technology and patient-centered care.

Risks & Considerations

While radiotherapy is highly effective in treating breast cancer, there are risks and considerations to keep in mind:

  • Skin Irritation: The treated area may experience redness, dryness, and irritation, similar to a sunburn. These symptoms usually resolve within a few weeks after treatment.
  • Fatigue: Many patients experience fatigue during and after radiotherapy. Rest and proper nutrition can help manage this side effect.
  • Breast Swelling: Swelling and tenderness in the treated breast can occur, but these symptoms typically subside in time.
  • Long-Term Effects: In rare cases, long-term side effects such as changes in breast size or firmness may occur. Radiation can also affect the heart or lungs if treatment involves the chest area.
  • Increased Risk of Secondary Cancers: Although rare, radiation exposure can increase the risk of developing secondary cancers in the future.

How to Choose the Right Doctor and Hospital

When selecting a doctor and hospital for breast cancer radiotherapy, it is crucial to consider several factors to ensure the best care and outcomes.

First, look for board-certified radiation oncologists who specialize in breast cancer treatment. Experience and specialization in breast cancer radiotherapy can make a significant difference in the quality of care. It's also important to ask about the hospital's technology and radiotherapy equipment. Advanced tools like 3D conformal radiotherapy, intensity-modulated radiotherapy (IMRT), and image-guided radiotherapy (IGRT) provide more precise treatments, reducing side effects.

Consider hospitals that offer a multidisciplinary approach to cancer care. Facilities that have teams of oncologists, radiologists, and surgeons working together can provide more comprehensive treatment plans. Additionally, international patients should prioritize hospitals with dedicated international departments that assist with travel, accommodation, and language barriers to ensure a smooth medical tourism experience.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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Stem cell therapy and PRP therapy have been shown to be most effective for: Those in the early stages of hair loss, patients who are not viable candidates for surgery and women who prefer to avoid hair surgery.

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Aesthetic Anti-Aging. The Aesthetic Stem Cell Localized Treatment is a non-surgical minimally invasive procedure to enhance the appearance of aging skin and hair restoration. This all-natural technique combines dermal injections of bone marrow or adipose tissue derived stem cells and growth factors.

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The stem cells used for treatment of a thin endometrium include mesenchymal stem cells. In addition, successful repair of the endometrium in pregnancy with stem cells has been reported previously.

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The treatment uses PRP (Platelet-Rich-Plasma), which with stem cell therapy is the novel therapeutic approach for restoring the quality of the ovarian reserve.Your PRP will contain a physiologic balance of platelets, growth factors and white blood cells tailored specifically for you.

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