Radiation therapy uses various types of radiation to kill cancer cells by applying the least harm to healthy tissues. Irradiation is prescribed in the following cases:
- as the primary treatment, if women have been other serious health problems, and surgery is not applicable;
- prior to surgery to reduce the volume of malignancy;
- after surgery for removal of remaining malignant segments and reduce the possibility of return of the disease; when the tumor was not completely resected;
- for the treatment of relapse in the upper part of the vagina or in the pelvis after surgery;
- to facilitate the patient's condition during the later phases of the disease.
At Assuta operates the Institute of radiation therapy and radiosurgery, is headed by Dr. Svetlana Zalmanova.
If you are considering options for uterine cancer radiation therapy abroad, our company «Unims» will be glad to help in the organization of the treatment process. We are the official representative of Assuta Hospital, in the medical tourism market work more than 10 years. Also cooperate on a contractual basis with 6 hospitals in Israel.
We provide a sufficiently wide range of services - recruitment of doctors, the organization and coordination of the diagnostic and treatment process, tracking, booking accommodation, transfers and so on.
The cost of our services will be equivalent to the cost of the department of international tourism at the clinic Assuta, but we provide a vast range of non-medical services at similar prices.
In cancer of the uterus applied external radiotherapy (3D-conformal, IMRT, stereotactic radiosurgery) and inner (HDR brachytherapy, a radioactive material is placed into or around the tumor), and a combination thereof. Treatment options for radiation oncologist discusses in detail with the patient.
Radiation oncologists at Assuta have extensive experience in the use of advanced radiation technology, as well as in the management of side effects. They specialize in the delivery of the maximum radiation to the tumor with the least damage to healthy tissues and organs. Radiation therapists work closely with the patient and the rest of the medical team.
treatment plan is based on the individual needs and objectives of treatment. Radiation oncologists use advanced visualization techniques before and during the irradiation in order to accurately track the tumor. They use technologies which provide maximum exposure of malignant tumors with the least impact on healthy tissue.
Depending on the features of the particular situation uterine cancer radiation therapy may be given alone or in combination with other methods - by surgery, chemotherapy, hormonal therapy and / or immunotherapy.
Radiation oncologist monitors the effectiveness of treatment, respectively, may change the plan. Exposure to radiation can be damaging to the body, causing unpleasant side effects. The combined efforts of a team of doctors will be aimed at reducing the adverse effects and improving the quality of patient life.
Brachytherapy - internal radiation therapy of cancer of the uterus in the Assuta
Radioactive materials (isotopes) is placed within a vagina near malignancy; at the point where the tumor was removed. Radiation kills cancer cells gradually. This method provides maximum radiation dose of cancerous tissue, minimizing the impact on the surrounding healthy tissue.
- Intracavitary radiation. The radioactive material is placed in a special applicator (cylinder) and inserted into the vagina. The local anesthetic can be used for pain relief. Procedures are carried out at intervals of about 1-2 weeks. During treatment, the catheter can be used for urinary diversion.
- Interstitial radiation therapy of cancer of the uterus . In some cases, implants are used. This type of brachytherapy is administered radioactive thin tube into the tumor and some tissue rasoplozhennye. The implants can be temporary or permanent. Temporary removed after delivering a radioactive substance, the constant is not retrieved within a few weeks or months of radiation delivery is carried out.
low doses of radiation brachytherapy
It provides low continuous dose of radiation for several hours or days. The implant is often left for 1-7 days, then removed. The woman usually stays in the hospital during treatment. Take the necessary precautions to protect against radiation exposure of other people.
The radioactive substance is placed in a special hollow catheter, which is inserted through the vagina and the cervix into the uterus. After that, the woman remains in bed, to prevent movement of the isotopes. When the required dose is given, the applicator is removed. Sometimes, you need a few of these procedures.
with high doses of radiation brachytherapy
Within a short period are delivered to high doses of radiation. Each treatment usually takes a few minutes. Tiny hollow catheters temporarily inserted directly into the tumor. Before processing checked position of the catheter to the nearest millimeter. Thereafter, radioactive pellets are inserted into each catheter. Using a computer, the whole process is controlled for precise processing, which takes a few minutes. For some patients Brachytherapy is a faster and more efficient type of radiation therapy. For many types of cancer treatment using this method takes between one to two days instead of five - seven weeks of external radiation. Brachytherapy can be combined with other treatments, due to the type and phase of the disease. In the later stages of the disease internal irradiation combined with external-beam radiation therapy and treatment with cytostatics.
External radiation therapy of cancer of the uterus
This kind of radiotherapy directing the radiation beam from any angle and any shape corresponding to the outline of the tumor, by a linear accelerator that reduces the risk of side effects associated with radiotherapy.
Sessions are usually administered daily for six - eight weeks. Each procedure takes a few minutes (10-15), and is performed on an outpatient basis.
External radiation therapy of cancer of the uterus helps reduce the risk of undesirable effects on the gastrointestinal tract and sexual function. In addition, it does not make the patient radioactive and is not dangerous when dealing with other people, including children.
Additional advantages of this method:
- This is a quick, painless, outpatient procedure.
- No standard risks and complications such as after surgery - hemorrhage, postoperative pain, the probability of stroke, heart attack or thrombosis.
- Unlike chemotherapy, circulating throughout the body, external radiation therapy of cancer of the uterus is designed for a specific area.
Cyber nozh® - Robotic Radiosurgery System
This is a non-invasive option when you can not surgically remove the malignancy. Radiation oncologists using this system deliver high radiation doses.
Benefits of cyber-knife
- There are no incisions and pain.
- No anesthesia and hospitalization.
- Greater comfort takes place in the course of treatment.
- You do not need time, or a small amount of it to recover.
- The patient can immediately return to normal activities.
How it works?
Thanks to the continuous guidance image cyberknife system provides high-irradiation with high accuracy. Make adjustments in real time, for example, take into account the respiratory cycle, so does less damage to surrounding healthy tissue.
Before the procedure is carried out radiosurgery CT with which parameters determine malignancy. This data is then transmitted to the cyberknife system where further planning.
During the procedure, the radiation is directed to the tumor from different angles, not located near sparing affected tissue oncology. The software adjusts the radiation therapy, given the patient's movements. The session lasts from thirty to ninety minutes for one - five days, the duration is determined by the location and view of the tumor.
Patients undergo proper treatment for 1 - 5 days instead of a few weeks conventional radiotherapy.
Cyber-knife in the treatment of uterine cancer in Israel
The tumor in the uterus itself or near it can move during breathing, which hampers accurate guidance for standard radiation therapy. As a result, the necessary amount of radiation is not delivered to malignant tumors, some of it damages healthy tissue.
Adjustment using cyberknife guidance system provides high quality of treatment. Also, high-therapy destroys the tumor within four to five sessions instead of numerous sessions of standard radiation therapy.
Tomotherapy - innovative radiation therapy of uterine cancer in Assuta
Tomoterapiya® combines the following features - radiotherapy, intensity modulated and CT technology. This method delivers high precision powerful doses of radiation to tumors inaccessible. Before the procedure, a built-in CT confirms the location and form of malignancy by reducing unwanted exposure to healthy tissue.
How it works?
Before a session improved scanning technique provides 3D-image processing zone, so the radiation beams are directed exactly according to the size, shape and location of the tumor. In real time, you can adjust the intensity and direction of light. A revolutionary approach 'layer by layer' allows treatment layers. Side effects are often minimized because less radiation reaches intact tissues and organs.
Tomotherapy offers a potential benefit for patients with cancer of the uterus:
- Using CT confirmed the location and outline of the tumor for a few seconds before the procedure.
- Tomotherapy reaches hard-malignancy in the uterus by means of small, precise and powerful radiation beams 360 degrees.
- Innovative type of radiation therapy reduces treatment-related adverse effects by minimizing damage to surrounding healthy tissue.
- Avoid exposure of muscle tissue, lungs and other organs, with increased sensitivity.
Radiation therapy of uterine cancer with intensity modulated
IMRT is also used in hard malignancies.
Modern software is used to plan the exact dose of radiation, based on volume, location and shape of the tumor. The linear accelerator provides radiation doses that match the exact 3D geometric shape of tumors, including a complex and a concave shape.
Applying IMRT, the radiation oncologist Assuta can adjust the intensity of the light beams across the area of treatment as needed with laser accuracy. This means that there is the possibility of high-radiation therapy, while minimizing exposure to healthy tissues compared to traditional radiotherapy.
Due to the high degree of accuracy can be IMRT treatment option for patients who have reached the maximum tolerated dose via a traditional radiation therapy, or have relapsed tumors in the treated area.
IMRT of cervical cancer
If the patient has previously received radiotherapy for uterine cancer or recurrent tumors appeared in the treatment zone, IMRT - promising option.
Compared to standard radiotherapy, IMRT allows radiation oncologists Assuta use higher doses of radiation, at the same time protecting surrounding healthy tissue.
Potential effects of radiation therapy of uterine cancer
During treatment, the possibility of side effects. Radiation oncologist at the clinic Assuta discusses with the patient, what effects can be expected.
External radiotherapy causes more side effects than the inner. Many women are prescribed the combination of both treatments. When brachytherapy common unwanted effects from the bowel and bladder.
The skin in the treatment area sometimes becomes dry and irritated. It should avoid using perfumed soaps during treatment because it causes irritation. Advise the patient care. The doctor may prescribe a cream that has a calming effect.
Radiation therapy to the pelvis to upset the bowels, cause diarrhea, irritation around the anus. Antidiarrheal medication the doctor prescribes. If there is this symptom, you need to consume plenty of fluids. Foods low in fiber will help reduce diarrhea. This means that you need to be avoided in the diet of pasta, raw fruits, cereals and vegetables during irradiation and for a couple of weeks after its completion.
Malfunction of the bladder
Radiation therapy is a cancer of the uterus may cause effects on the functioning of the bladder, causing frequent urination and a burning sensation in his process. Your doctor may prescribe medication to relieve these symptoms. Favor will use two to three liters of fluid a day.
This side effect is common, it can occur for a number of months after the treatment. During radiotherapy of cervical cancer need more rest than usual. Improve the state of gentle exercise, such as walking. After the end of exposure necessary to gradually increase the load, try to balance rest with exercise. This will improve the energy balance in the body.
Slight vaginal discharge after the completion of irradiation. If they continue or increase, it is imperative to inform the doctor.
Possible long-term effects
Radiation therapy is a cancer of the uterus can sometimes cause long-term side effects (long-term). Recent developments in this area reduce their likelihood. But even if they appear, there are many ways in which it is possible to manage them or treat.
Irradiation in the pelvic area in women can cause vaginal dryness or narrowing, leading to discomfort during sex. Doctors talk about the ways in which try to prevent the narrowing (vaginal dilators), as well as creams with dryness.
Some women develop irreversible changes in the intestines or bladder. If this happens, the symptoms occur during the time period from six months to two years after radiation therapy of uterine cancer, sometimes years later. When irradiation affects the intestines, there may be diarrhea or quickens the process of defecation.
In some cases, after radiation therapy of cancer of the uterus compresses the bladder, it can not keep the previous volume of liquid and have to urinate more often. The blood vessels in the intestine and bladder may become more brittle, and if this happens, blood appears in the urine or stool. This was sure to tell your doctor, the bleeding can be cured.
Radiotherapy and surgery to remove the lymph nodes in the pelvis may increase the risk of lymphedema in the limbs (edema). This uncirculated side effect, there is a system of measures that will reduce the likelihood of edema and normalize the condition.