Prostate Cancer Treated With High Dose Radioactive Pellets
Editor's ChoiceMain Category: Prostate / Prostate Cancer
Also Included In: Urology / Nephrology; Cancer / Oncology; Radiology / Nuclear Medicine
Article Date: 25 Feb 2013 - 0:00 PST
Prostate Cancer Treated With High Dose Radioactive Pellets
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A new form of radiotherapy to treat prostate cancer is being used by doctors in Southampton, UK.
Implanting radioactive pellets in prostate cancer patients which specifically target and eradicate the cancerous cells at the tumor site has proved to be very effective treatment.
There are close to 36,000 new cases of prostate cancer every year in the UK - accounting for nearly a quarter of all newly diagnosed cancer cases. Cancer Research UK estimates that 1 in 7 boys born in 2015 will be diagnosed with prostate cancer at least once in their life compared to only 1 in 20 born in 1990 - this is likely due to the increased use of the PSA test and because men are living longer than before.
The treatment is known as high dose rate (HDR) brachytherapy. A computer-controlled machine, called a microselectron, implants a capsule in the prostate gland which gives off radiation that damages and destroys cancerous cells.
Radiation from HDR brachytherapy is confined to the site of the tumor in the prostate area and does not damage the bladder or the rectum. This is unlike conventional radiotherapy - manually operated x-rays - which targets the whole area of the tumor instead of solely the cancer, potentially damaging surrounding healthy tissue.
The treatment involves a day case and then fifteen additional external beam radiotherapy treatments within four weeks, as opposed to the conventional form which involves 37 sessions over an eight week period.
Patients were able to return to normal activity within a few days of receiving the full course of HDR brachytherapy treatment.
One of the leaders of the research, Dr Catherine Heath, a consultant clinical oncologist at Southampton General Hospital, said:
"This is a major step forward in the treatment of prostate cancer as the innovative technology allows us to take radiotherapy inside the body and get a much higher dose of radiation to the prostate gland than is possible with any other form of the treatment.
"In addition, there is growing evidence that HDR brachytherapy, combined with external beam radiotherapy, results in higher cure rates for men with prostate cancer and I am delighted we are at the forefront of its introduction."
This new form of treatment is suitable and available for men whose cancer has not spread outside their prostate, say the doctors at Southampton General Hospital.
Previous research by oncologists at the Kimmel Cancer Center, Jefferson, revealed that high-risk prostate cancer patients who receive brachytherapy, or a combination of it with external bream radiation therapy (EBRT), had considerably lower mortality rates than those who received EBRT alone.
Written by Joseph Nordqvist
Copyright: Medical News Today
Not to be reproduced without permission of Medical News Today
University Hospital Southampton NHS Foundation Trust
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24 May. 2013. <http://www.medicalnewstoday.com/articles/256821.php>
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http://www.medicalnewstoday.com/articles/256821.php.
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Visitor Opinions (latest shown first)
Radiation Damage
posted by Edward Sturr on 27 Feb 2013 at 12:18 pmI had radiation palladium seeding in my prostate and a recent biopsy in my bladder was reported to be " chronic inflammation and radiation induced epithelial atypia". And my urologist always mentions radiation scarring whenever he does a cystoscopy as he moves the scope through my urethra. I've had no other radiation treatment besides the seeding. The article is not accurate with regard to radiation damage from seeding.
disagreement - radioactive pellets spare bladder and rectum damage?
posted by G Horner on 26 Feb 2013 at 1:59 pmThis article states the bladder and rectum are spared from any damage? really? Sorry, but someone's not being honest here. Unless this is a new form of radiation pellets (not photon), those areas... as well as everything else in the pelvic girdle will receive radiation damage. Photon radiation doesn't stop at some predetermined line, it continues on, giving off it's energy (and damaging tissue) until exiting the body.
The other side of HDR brachytherapy treatment for prostate cancer
posted by Greg Pawelski on 25 Feb 2013 at 6:16 pmMyelodysplastic syndrome (MDS) after being treated with permanent radiation seed implants (brachytherapy). Treatment-related MDS or secondary MDS is often more severe and difficult to treat than de novo MDS (unknown changes to the bone marrow).
Myelodysplasia is a disease of the bone marrow cells where they become dysfunctional. The early stem cells don’t make enough red cell, white cells and platelets. When they look at the bone marrow cells, they would see enough of these early cells. They would look peculiar. They would be misshapen or too big or the nuclei of the cells would be too big.
Sometimes pathologists would diagnose the disease from the appearance of cells called megakaryocytes. MDS is characterized by an excess of blasts in the bone marrow 5-20%. The only difference between MDS and leukemia is that the term "leukemia" is only used when the number of blasts reaches 20% or more.
When patients die from this, it is usually because they can’t make enough infection fighting cells and get overwhelming infections such as pneumonia. Or, they develop acute leukemia. This type of leukemia that develops in people with myelodysplasia is virtually untreatable – different from other kinds of leukemia.
And generally older patients can’t handle aggressive treatment or the stress of not enough blood cells. For younger patients, the best hope is a stem cell transplant from someone else's bone marrow. But aside from transplant, there are no magic bullets. It is a bad disease that affects mainly older patients and those that have received anti-cancer treatment.
Urologists can hardly hold themselves back and are out with all sorts of treatments. Sometimes, while a life may be saved, a life may be taken.
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