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Brachytherapy is an advanced cancer treatment that can
be an alternative to or combined with surgery. Radioactive
seeds or sources are placed in or near the tumor itself,
giving a high radiation dose to the tumor while reducing
the radiation exposure in the surrounding healthy tissues.
The term "brachy" is Greek for short distance,
and Brachytherapy is radiation therapy given at a short
distance: localized, precise, and high-tech. Some of the
diseases that are now treated with Brachytherapy include
prostate, breast, lung, and tongue cancers. Mesothelioma
tumors may also be treated with this technique.
There are two methods by which the radioactive sources
can be implanted into the patient's body. The first method
is intracavitary treatment and involves passing radioactive
sources in special containers through body cavities such
as the windpipe, uterus or vagina. The second method is
called interstitial treatment. In interstitial treatment
the radioactive sources, which are the size of a grain of
rice, are injected into the tumor directly via thin catheters.
These seeds only give off radiation a few millimeters to
kill cancer cells. The seeds can be either permanent or
temporary. With permanent seeds the radioactivity of the
seeds decays with time while the actual seeds permanently
stay within the treatment area. With temporary seeds a series
of radiation treatments are given through catheters. A computer
can control how long a seed remains in each of the catheters,
and therefore is able to control the radiation dose to that
specific area. The catheters are then easily pulled out,
and no radioactive material is left.
Brachytherapy is usually an outpatient procedure where
patients do not need to spend the night and takes only about
an hour. General anesthesia is used during the procedure.
Generally patients undergoing Brachytherapy experience fewer
side effects than less localized forms of radiation treatment.
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