In which cases can I use radiotherapy

In which cases would radiotherapy be indicated? As we have already discussed, it is a good pain reliever treatment. It is a treatment that we use to cure cancer and we also use it to alleviate tumors that cause pain. What kind of pain? Above all, the painful one, which is a primary tumor that was born in that bone or from a metastatic tumor. That is, the primary tumor is elsewhere. For example, the breast or colon and the cells have escaped and reached the bone.

They have grown there and have broken that bone. The bone is enervated by a large number of nerves, because the structure that covers it is the periosteum, a very sensitive structure. So when tumor cells grow big enough to break this periosteum, the metastatic bone or primary tumor hurts a lot. If it is irradiated, as the radiotherapy treatment consists of killing tumor cells, the size of the metastases of that primary decreases and then the bone regains its size, size and shape a little, and that period is hyper stimulated and therefore is removed the pain.

It is a very effective treatment that is also given in collusion with drug treatments. There are many other indications for palliative radiation therapy, but always on the basis of tumor growth. For example, that it compresses other viscera or that it is in a closed cavity, such as the central nervous system and, therefore, there is a risk that the patient is key. We surround him and remove the analgesia and feel him. We do not cure him, but we reduce the amount of tumor that surgery, chemotherapy have. They can also be used as a pain treatment in situations with surgery and chemotherapy.

An effect very similar to that of radiotherapy occurs. It is about removing pain in areas where tumor cells have grown a lot and where they may be compressing a neighboring structure or where they may be encompassing, for example, nerves that pass through there and making a picture of neuropathic pain. Then, the use of surgery will be an indication of early relief. For example, in a spinal compression syndrome, the bones of the vertebrae are full of tumor, they are invading the spinal canal, they are causing neurological symptoms, pain, paralysis.

So we have to remove it and remove it soon. We use surgery in treatments that are very sensitive to chemotherapy, in which the use of chemotherapy will produce a rapid decrease in the mass. We can also use it for analgesic purposes, but really the most analgesic treatments are pharmacology, pharmacotherapy, pills and radiotherapy. Well, we are going to consider until recently something special terminally ill with cancer, having a very short life expectancy, an incurable tumor. These patients have pain and if so, what type of treatment would be carried out? It would be the same as a patient who was not terminal.

These patients are in a lot of pain. In fact, 90 percent of the terminal patient usually has pain, which is a stone thrown on the roof of the doctors, because they should not have that pain. The pain of the terminally ill cancer patient is the same as that of the patient in the early stages of cancer. What happens is that it has the component of greater anxiety and, above all, of greater intensity. Being a patient who is going to die and is going to die in a short period, we cannot experiment with the treatment of his pain. We cannot go around doing fancy things to try strange things, we have to go to the basics and the basics is to remove the pain and remove it quickly with the pain of the terminal patient.

An entire program has emerged and we will talk about these concepts. The issue of euthanasia, that is, assisted death. Morphine is one of the most widely used drugs in euthanasia. It is a drug theoretically used for the sake of removing pain, but ends up causing the death of the patient. It is not at all necessary. The terminally ill do have a lot of pain. What is called a refractory symptom, that is, we cannot control it. What we have to do is give it either with morphine or with other types of drugs that are sedating and, therefore, lower their level of consciousness. For what? For what? Although we cannot remove the cause of that pain if we remove the sensation of pain from the patient. 

We remove the sick person, he will remain calm, the family will remain calm because his relative is not suffering and we will all be much better. This is a peculiarity of the terminally ill that must be taken into account in order to differentiate it from the patient who is really in the initial stages of his cancer. And it hurts because he has a tumor, but he has expectations of guilt

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how has chemotherapy changed over the years
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