Cancer Treatments
What are the different cancer treatments?
Several types of cancer treatments are available today. The chosen method depends on the cancer type and stage.
Often, a combination of different therapeutic strategies is used. The main treatments include:
- Surgery: Removing solid tumors surgically is the initial treatment for most cancers. The goal is to remove all or a significant portion of the tumor to improve the effectiveness of complementary treatments. Surgery can also reduce pain or pressure on an organ. Depending on the tumor type, techniques using cold (cryosurgery), heat, laser, and others may also be applied;
- Radiation therapy: High doses of radiation can eliminate cancer cells or slow their growth, reducing tumor size. Radiation damages the genetic material (DNA) of tumor cells, preventing their division or causing their death. This process can take days or weeks;
- Chemotherapy: Chemotherapy uses specific drugs to stop or slow the growth of cancer cells. Side effects such as nausea or hair loss are common.
- Bone marrow transplant: This treatment replaces the recipient's bone marrow with healthy cells, either from the recipient or a donor. It's used when the recipient's cells have been damaged by high doses of chemotherapy or radiation therapy. This treatment is used for certain cancers (leukemia, lymphoma, myeloma) and bone marrow disorders;
- Immunotherapy: Immunotherapy uses the body's immune system to attack tumor cells. It helps the immune system recognize and eliminate cancer cells, similar to how it fights invading microorganisms;
- Hormone therapy: This targets tumors that need hormones to grow, such as breast and prostate cancers. It interferes with hormone production or blocks their effects to stop tumor growth.
- Targeted therapy: This precision medicine approach uses drugs targeting specific components of tumor cells that distinguish them from normal cells. It aims to block proteins controlling cancer cell growth, division, and spread;
Is there a miracle cure for cancer?
There will never be a single cure for all cancers, but many cures exist for different cancers and patient types.
Cancer isn't singular. There are at least 200 different types, clinically classified by various criteria. Cures exist for many, but not all. Research has revealed many molecular characteristics of tumors, and cancer cells evolve, sometimes becoming resistant to initially effective therapies. Cancer is a complex, evolving set of diseases, unlikely to yield to a single cure or miracle drug.
Accurate and early diagnosis is crucial for successful cancer therapy. Advances in clinical and epidemiological research, along with technological improvements, have enabled earlier diagnoses by enhancing our understanding of symptoms and risk factors.
Early diagnosis significantly improves outcomes. For example, over 90% of bowel cancer patients diagnosed early survive more than five years. Similar survival rates are seen for early-stage breast cancer (90%), ovarian cancer, while lung cancer shows a 70% versus 14% five-year survival rate difference between early and late-stage diagnosis.
For most operable tumors, surgery is crucial after early diagnosis. For tumors difficult to reach with drugs, radiotherapy may be appropriate, alone or in combination with other treatments.
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Cancer Treatments: a little vocabulary...
A "tumor" is abnormal cell growth, either confined to its origin or metastasizing. Cancer refers specifically to a tumor capable of metastasis.
Tumors and cancers cause structural changes in organs and tissues, impairing their function.
Cancer results from uncontrolled, rampant division of abnormal cells, invading and destroying healthy tissue. Metastasis occurs when this spreads to other body parts. Common cancers include breast, lung, prostate, and colon cancer, but over 200 types exist, each requiring a specific approach.
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