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chequeo_médico

El chequeo médico, frecuencia y edad

Revisar nuestra salud ahora nos permitirá disfrutar de la vida con plenitud. Porque, aunque presumas de una buena salud, los malos hábitos de vida o algunos factores genéticos pueden predisponernos a padecer cáncer, diabetes o hipertensión. Para prevenir enfermedades es necesario realizar revisiones médicas periódicas. Pero, ¿con qué frecuencia? ¿Cuáles son los chequeos rutinarios más importantes? [Continue Reading]

Chequeo HC Post Covid

Superado el Covid-19, no dejes de revisarte

Cada vez vamos conociendo más y mejor el coronavirus y las posibles secuelas que puede dejar. Según arroja un estudio que se ha publicado recientemente sobre el Covid persistente, se calcula que casi un 30% de las personas que han padecido la enfermedad pueden tener síntomas a largo plazo. Una larga versión del Covid que afecta especialmente a mujeres de entre 35 y 50 años que aseguran no haberse curado, a pesar de sus tests PRC y serología negativos. [Continue Reading]

cancer de pulmon

La inmunoterapia en el cáncer de pulmón

taratmiento cancer de pulmon

 
 

El cáncer de pulmón es junto al cáncer de mama y cáncer de colon uno de los tumores con mayor prevalencia y por tanto supone un reto en el manejo terapéutico, así como una constante búsqueda de estrategias diagnósticas con el fin de mejorar las tasas de curación. [Continue Reading]

movember_cancer prostata

Radiotherapy and prostate cancer

November is the month dedicated to men’s health awareness, a movement known as movember

 
movember_cancer_de_prostata

 

In Spain, prostate cancer is the most frequent tumor diagnosed in men according to the cancer figures for the previous year. In Europe, it is estimated that prostate cancer causes up to 7% of cancer deaths in men.

 

Localized prostate cancer is radically treated with local therapy, generally surgery and / or radiation therapy, while advanced / metastatic prostate cancer is treated with hormone therapy, chemotherapy, and / or targeted therapies, requiring radiation therapy in some cases to alleviate symptoms or improve. local control.

Radiation therapy is an essential treatment for the multidisciplinary management of this tumor.

This treatment has been gaining importance over the years as it presents excellent disease control figures, comparable to surgical treatment1, with the advantage of being a non-invasive treatment.

The prevalence of prostate cancer reaches almost 60% in men> 80 years. In this more fragile population of patients, the ideal is to be able to count on a treatment that avoids the patient having to undergo surgery with the risks that this may entail.

 

 

Radiation therapy is given with curative intent:

  • In patients with localized tumor, either low, intermediate or high risk.
  • In higher risk patients. Association with hormonal treatment is required for not only local control but also systemic control of the disease.
  • In patients who after surgery have micro-disease or certain risk factors. The trend now in some of these patients is to actively monitor the possible recurrence / relapse of the disease, and if it occurs, treat the patient with early rescue radiotherapy 2,3

 

Radiation therapy to alleviate the symptoms of the disease

  • In those patients in whom the disease is more advanced, radiotherapy can improve the symptoms derived from the disease, such as pain.
  • Prostate cancer tends to have a predilection for bones, which is why metastases are usually located at the level of the bones of the spine and pelvis. Radiotherapy achieves an improvement in pain of up to 70%  4.
  • When dissemination is limited, radical intention treatment can also be performed at the affected site / locations.

 

In summary, radiotherapy treatment is a fundamental part that can be offered in the different stages of the disease and always with a high level of evidence.

 

HC radiation therapy in prostate cancer:

radioterapia_prostata

Improve survival figures:

  • The treatment of prostate cancer with tomotherapy achieves excellent control of the disease, reaching 5-year relapse-free survival rates of up to 98.9% without associating severe acute toxicity 5.
  • In patients at higher risk (high or very high risk) after treatment with tomotherapy together with hormonal therapy, a relapse-free survival at 5 years is observed between 91-99%. Furthermore, tolerance to treatment was good, with 10% or less of the patients presenting long-term moderate-severe genitourinary or gastrointestinal side effects  6.

 

Radiotherapy that follows the tumor

  • The prostate moves up to 12-15mm due to changes in the volume of the bladder or rectum (the organs next to it). Other more conventional radiotherapy systems do not detect this movement, with the risk of not treating the entire area well or of having to widen margins and therefore increase the volume that will receive radiotherapy.
  • Our radiotherapy has a tracking system known as Synchrony, capable of following the movement of the tumor in real time during each radiation session.
  • This is achieved after the placement of fiducials inside the prostate, which the system is capable of tracking and thus administering the treatment with high precision.
  • This precision is ideal for those extreme hypofractionation treatments (SBRT) that manage to eliminate the disease with less treatment sessions7,8.

 

Movember is here, join this movement of the hand of the most precise radiotherapy.

hc marbella_movember

Learn about the new radiotherapy of HC Cancer Center

 
radioterapia_marbella

 

Reference:

  1. Hamdy F.C, Donovan J.L, Lane J.A, et al. 10-Year Outcomes after Monitoring, Surgery, or Radiotherapy for Localized Prostate Cancer. N Engl J Med. 2016 Oct 13;375(15):1415-1424.
  2. Parker C.c, Clarke N.W, Cook A.D, et al.Timing of Radiotherapy after Radical Prostatectomy (RADICALS-RT): a randomized, controlled phase 3 trial. Lancet 2020.
  3. Kneebone a, Fraser-Browne C, Duchesne G, et al. Adjuvant radiotherapy versus early salvage radiotherapy following radical prostatectomy (TROG 08.03/ANZUP RAVES): a randomised, controlled, phase 3, non-inferiority trial. Lancet Oncol 2020; 21: 1331-40.
  4. Spencer K, Parrish R, Barton R, et al. Palliative Radiotherapy. BMJ 2018;360:k821
  5. Takakysagi Y, Kawamura H, Okamoto M. Long-term outcome of hypofractionated intensity-modulated radiotherapy using TomoTherapy for localized prostate cancer: A retrospective study. PLoS One. 2019 Feb 26;14(2):e 0211370.
  6. Tomita N, Soga N, Hayashi N, et al. High-dose radiotherapy with helical tomotherapy and long-term androgen deprivation therapy for prostate cancer: 5-year outcomes. J Cancer Res Clin Oncol. 2016 Jul;142(7):1609-19.
  7. Meier, R., Beckman, A., Henning, G., Mohideen, N., Woodhouse, S. A., Cotrutz, C. & Kaplan, I. D. (2016). Five-Year Outcomes From a Multicenter Trial of Stereotactic Body Radiation Therapy for Low- and Intermediate-Risk Prostate Cancer. Int J Radiat Oncol Biol Phys, 96(2), S33-S34.
  8. Kishan, A. U., Katz, A. J., Mantz, C., Chu, F.-I., Appelbaum, L., Loblaw, A., Cheung, P., Kaplan, I. D., Fuller, D. B., Pham, H. T., Meier, R., Buyyounouski, M. K., Shaverdian, N., Dang, A., Yuan, Y., Bagshaw, H., Prionas, N., Kupelian, P., Steinberg, M. L. & King, C. R. (2018). Long-term outcomes of stereotactic body radiotherapy for low- and intermediate-risk prostate adenocarcinoma: A multi-institutional consortium study. Journal of Clinical Oncology, 36(6_suppl), 84-84.

 
 
Dra. Paula Sedano
Dr. Paula Sedano Ferreras
Radiotherapy doctor
 

marie curie_oncologia radioterapica

Marie Curie, la madre de la radioterapia

Día de la oncología radioterápica.

La radioterapia es uno de los pilares en el tratamiento del cáncer, aproximadamente entre un 60% y un 70% de los pacientes oncológicos recibirán radioterapia durante el proceso de su enfermedad.

El tratamiento de radioterapia es un proceso muy laborioso, casi un baile sincronizado donde físicos, médicos y técnicos ensayan y preparan milimétricamente cada paso para que el haz de radiación incida de manera precisa en el volumen a tratar.

Actualmente contamos con una tecnología muy avanzada que en manos de un equipo humano altamente cualificado administra tratamientos eficaces y seguros. Pero para llegar hasta aquí ha habido un largo camino que otros iniciaron y a los que les debemos estos grandes avances.

[Continue Reading]

radioterapia de mama

Radiotherapy and breast cancer

Logo HCCC con lazoOctober is the month dedicated to the fight and prevention of breast cancer, although for us the fight and awareness against this disease is every day of the year.

 

Breast cancer is the most common in women in both developed and developing countries. [Continue Reading]

Tel.: +34 952 908 628

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