Which comes first chemotherapy or radiation?

Radiation generally starts after chemotherapy is done.
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Why is chemo given before radiation?

Before surgery or radiotherapy

The aim of chemotherapy before surgery is to shrink a tumour so that you need less surgery, or to make it easier to get all the cancer out. Shrinking the cancer with chemotherapy might also mean that you can have radiotherapy to a smaller area of your body.
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Is chemo and radiation given at the same time?

In the treatment called chemo-radiation, you will get both chemotherapy and radiation at the same time. Chemotherapy weakens the cancer cells which helps radiation to work better. Your treatment team consists of your medical oncologist and your radiation oncologist.
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Is radiation better then chemo?

The radiation beams change the DNA makeup of the tumor, causing it to shrink or die. This type of cancer treatment has fewer side effects than chemotherapy since it only targets one area of the body.
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At what stage of cancer is chemotherapy and radiation used?

Systemic drug treatments, such as targeted therapy or chemotherapy, are common for stage 4 cancers.
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What to Expect When Receiving Radiation Therapy Treatment



Why do oncologists push chemo?

An oncologist may recommend chemotherapy before and/or after another treatment. For example, in a patient with breast cancer, chemotherapy may be used before surgery, to try to shrink the tumor. The same patient may benefit from chemotherapy after surgery to try to destroy remaining cancer cells.
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Is Stage 4 always terminal?

Stage 4 is the most severe stage of cancer, but it is not always terminal. Doctors use a wide range of factors to classify cancer's stage, including the size and locations of tumors and the person's overall health.
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Do you lose hair with radiation?

Radiation therapy can also cause hair loss on the part of the body that is being treated. Hair loss is called alopecia. Talk with your health care team to learn if the cancer treatment you will be receiving causes hair loss.
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Do tumors grow back after radiation?

Normal cells close to the cancer can also become damaged by radiation, but most recover and go back to working normally. If radiotherapy doesn't kill all of the cancer cells, they will regrow at some point in the future.
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How many days after chemo do you feel better?

Most people say it takes 6 to 12 months after they finish chemotherapy before they truly feel like themselves again.
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Can radiation oncologist give chemotherapy?

Medical oncologists treat cancer using medication, including chemotherapy, immunotherapy, and targeted therapy. Radiation oncologists treat cancer using radiation therapy, which is the use of high-energy x-rays or other particles to destroy cancer cells.
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How many rounds of chemo is normal?

During a course of treatment, you usually have around 4 to 8 cycles of treatment. A cycle is the time between one round of treatment until the start of the next. After each round of treatment you have a break, to allow your body to recover.
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What can I expect after my first radiation treatment?

The most common early side effects are fatigue (feeling tired) and skin changes. Other early side effects usually are related to the area being treated, such as hair loss and mouth problems when radiation treatment is given to this area. Late side effects can take months or even years to develop.
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What can you not do during radiation treatment?

Avoid raw vegetables and fruits, and other hard, dry foods such as chips or pretzels. It's also best to avoid salty, spicy or acidic foods if you are experiencing these symptoms. Your care team can recommend nutrient-based oral care solutions if you are experiencing mucositis or mouth sores caused by cancer treatment.
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What time of day is best for radiation therapy?

New research from Roswell Park Comprehensive Cancer Center, to be presented at the American Association for Cancer Research (AACR) Annual Meeting 2019 in Atlanta, reports that administering radiation treatments in the morning as opposed to later in the day can significantly reduce severity of mucositis and its related ...
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How long is radiotherapy treatment?

Each session is quick, lasting about 15 minutes. Radiation does not hurt, sting, or burn when it enters the body. You will hear clicking or buzzing throughout the treatment and there may be a smell from the machine. Typically, people have treatment sessions 5 times per week, Monday through Friday.
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Is radiation worth the risk?

Radiation therapy (also called radiotherapy) is a highly effective cancer treatment with wide-ranging uses. Radiation therapy leads to cancer cure in many patients (either alone or with other treatments) and relieves symptoms or prolongs survival in more advanced cancers.
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What is the success rate of radiation therapy?

“When patients are treated with modern external-beam radiation therapy, the overall cure rate was 93.3% with a metastasis-free survival rate at 5 years of 96.9%.
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Is radiation treatment painful?

Does radiation therapy hurt? No, radiation therapy does not hurt while it is being given. But the side effects that people may get from radiation therapy can cause pain and discomfort. This booklet has a lot of information about ways that you and your doctor and nurse can help manage side effects.
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What does radiation fatigue feel like?

Feeling very tired and lacking energy (fatigue) for day-to-day activities is the most common side effect of radiation therapy to any area of the body. During treatment, your body uses a lot of energy dealing with the effects of radiation on normal cells.
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Is radiation therapy every day?

Most patients get radiation treatments daily, 5 days a week (Monday through Friday) for 5 to 8 weeks. Weekend rest breaks allow time for normal cells to recover.
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What size tumor is considered large?

The study defined tumors less than 3 cm as small tumors, and those that are more than 3 cm as large tumors, in 720 EGC patients. Meanwhile, tumors less than 6 cm in size were set as small tumors, while more than 6 cm as large tumors, in 977 AGC patients. The study has acquired the following results.
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How do you know if chemo is killing you?

Here are some signs that chemotherapy may not be working as well as expected: tumors aren't shrinking. new tumors keep forming. cancer is spreading to new areas.
...
Along the way, the timeline may have to be adjusted due to:
  1. low blood counts.
  2. adverse effects to major organs.
  3. severe side effects.
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What are the signs that chemo is working?

Complete response - all of the cancer or tumor disappears; there is no evidence of disease. A tumor marker (if applicable) may fall within the normal range. Partial response - the cancer has shrunk by a percentage but disease remains. A tumor marker (if applicable) may have fallen but evidence of disease remains.
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