Radiation Therapy | Brachytherapy | Chemotherapy | Surgery
Radiation Therapy
External beam radiation delivers radiation via a source outside the body, in this case through a linear accelerator. This complex machine uses electricity to produce high-energy X-rays, targeted and delivered to the tumor site. These X-rays deposit the prescribed dose of radiation deep within the body while sparing surrounding structures.
Radiation is invisible, tasteless and odorless, and external beam radiation is a completely non-invasive technique. It works by damaging cancer cells and slowing their ability to grow and divide. Healthy cells can repair the effects of radiation fairly quickly while cancer cells have a hard time repairing. By delivering radiation over a pre-determined amount of time (approximately 6-8 weeks), we allow the healthy tissues to repair while repeatedly damaging the cancer cells.
LINAC External Beam Radiation Treatment
Delivered by our state-of-the-art Linear Acclerator, beams of radiation are carefully aimed directly at the tumor, while the Linear Accelerator uses two imaging arms to monitor the position and movement of the tumor, ensuring that the surrounding healthy tissue is not affected.
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Brachytherapy
SenoRX’s Multi-Lumen Radiation Balloon Application
SenoRx has developed Contura™, a multi-lumen radiation balloon applicator for accelerated partial breast irradiation. The radiation balloon uses a vacuum to remove excess fluid and to adhere closely to often irregularly shaped lumpectomy cavities in order to deliver precise radiation dosing through multiple seed lumens. Treatment time is reduced to days versus weeks, and accurate, targeted radiation dosing decreases potential recurrence of cancer cells in the lumpectomy site.
With our advanced multi-lumen design, more accurate treatment is achieved. Certain patients who are presently candidates for balloon therapy are currently excluded because of the location of the lesion relative to their breast size. Our multi-lumen approach offers a solution to this problem.
SenoRX website >>
Contura Catheter - Care Instructions for Patients >>
MammoSite® and Interstitial Localized Short Course Radiation
After the breast tumor is removed, a small, soft MammoSite balloon attached to a catheter is placed inside the lumpectomy cavity, under ultrasound guidance. Small radioactive seeds are then inserted into the catheter, monitored by a computer-controlled HDR machine for accuracy of dosage and placement, so as not to affect healthy cells. The catheter and balloon are then easily removed on the last day of treatment, leaving no radiation inside the breast.
Nucletron HDR Remote Afterloader
The Nucletron Afterloader delivers HDR radiation treatments based on times calculated by the Medical Dosimetrist. The machine contains a radioactive source called Iridium 192. The source, approximately 5mm long, is attached to a long cable that is also contained in the machine. The machine, housed in a special treatment room called the HDR vault, is linked to a computer controlled by the physician delivering the treatment. The machine operator stands outside the HDR vault and monitors the patient undergoing treatment.
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Brachytherapy FAQ >>
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Chemotherapy (Medical Oncology)
Chemotherapy usually includes a combination of drugs, taking orally or intravenously, to kill or slow the growth of rapidly multiplying cells. These drugs travel throughout the body to reach parts to which the breast cancer may have spread. CCOI does not offer chemotherapy since we are a radiation oncology facility.
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Surgery
Therapeutic Surgery
Both breast-sparing (lumpectomy) and mastectomy surgeries are available to our breast cancer patients, and are to be determined by the stage of cancer. These surgeries are often followed with radiation and chemotherapy treatments to ensure that the cancer has not spread.
Reconstructive Surgery
We offer post mastectomy, augmentation and reduction surgery through our facility. These referrals can be made by Dr. Tokita and his staff.
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