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Brachytherapy (Internal Radiation Therapy) for Cancer

Brachytherapy, also known as Internal Radiation Therapy, is a treatment method that delivers radiation directly to the site of cancer.

It is commonly used to treat various cancers, including:

Brain cancer
Eye cancer
Cervical cancer
Prostate cancer
Skin cancer
Vaginal cancer
Uterine cancer
Mouth cancer
Breast cancer

In this procedure, radioactive pellets are placed inside or near the tumor, allowing targeted radiation to destroy cancer cells while sparing healthy tissue.

Alternate Name
Internal Radiation Therapy

Body Location
Used for cancers in the brain, eye, cervix, prostate, breast, and other areas.

Procedure Type
Surgical

Preparation for Brachytherapy

Blood Tests: Before the procedure, you may need to undergo blood tests to check for bleeding or clotting time.

Pre-Anesthesia Check: Depending on the location of the cancer, a pre-anesthesia check-up or sensitivity testing might be required.

Diet: You should not eat for at least 6-8 hours before the procedure to minimize the risk of complications.

Medications: Consult with your doctor about your current medications. You may need to stop certain medications, such as aspirin, before the procedure.

Arrival: Arrive at the hospital 2-4 hours in advance for observation before the procedure.

Brachytherapy Procedure

Brachytherapy is performed under anesthesia or sedatives to manage pain and discomfort. Radioactive pellets are inserted into or near the tumor using an applicator or catheter.

There are two main types of brachytherapy:

High-Dose-Rate (HDR): A high-dose of radiation is delivered through the implant for 10-20 minutes, after which the implant is removed. Treatment frequency depends on the cancer type and stage, ranging from a few days to weeks.

Permanent Implant (Seed Implantation): Small radioactive seeds are implanted, which emit radiation for 24 hours until the radiation fades.
Recovery After Brachytherapy
Post-treatment recovery depends on the type of cancer and the radiation used. After a few hours or days, you will be transferred to a hospital room or ward and, in most cases, discharged within a couple of days.

Side Effects: Many side effects of radiation therapy subside shortly after the implants are removed. Some soreness or pain at the treatment site may persist for a few days.

Activity: You can resume normal activities after being discharged, but avoid heavy physical work for a few weeks.

Follow-ups: Regular follow-up appointments are essential to ensure smooth recovery. Take painkillers as prescribed, and seek medical help if you experience unexplained pain or excessive vomiting.

Follow-up After Brachytherapy

Ensure you complete follow-ups as recommended by your doctor to monitor your recovery.

Radiation Safety: If you have permanent radioactive implants, avoid contact with pregnant women and children for a few days.

Rest and Avoid Overexertion: Take proper rest and avoid bending or excessive stretching.

Return to Routine: Gradually return to your normal activities, but refrain from strenuous exercises such as running or weightlifting for about a month or more.

Additional Care: Follow your surgeon’s guidance for follow-up visits to assess your recovery and determine if further treatment is necessary.

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