Treatment Options
The Batson Cancer Care Center offers up-to-date treatment options for most types of adult cancer. Cancers of the blood (leukemia), breast, lung, prostate, pancreas and liver and gastrointestinal (colorectal) tract are among the most-often seen.
Treatment options depend on the type and amount of cancer, the location of the
cancer and how aggressive the cancer is. The Batson Cancer Care Center gives oncologists and their patients a range of treatment strategies, including
bone marrow transplantation, surgery, radiation and chemotherapy.
Bone Marrow Transplantation
Bone Marrow Transplantation (BMT) is the preferred treatment for some cancers,
including acute and chronic leukemia, lymphoma and multiple myeloma.
There are three primary types of BMT:
- autologous, which uses the patient's own bone marrow
- allogeneic-related, which uses genetically similar marrow from a donor who is a relative of the patient; and
- allogeneic-unrelated, which uses marrow from an unrelated donor.
St. Francis' autologous stem cell transplant program is the only South Carolina
transplant program accredited by the Foundation for the Accreditation of Cellular Therapy (FACT).
Autologous transplants and allogeneic-related transplants are available at St.
Francis under the direction of Dr. Gary Spitzer, Medical Director for the Bone Marrow Transplantation program. Spitzer is internationally recognized as an early investigator and developer
of one of the first autologous transplant programs. He is the former director
of Adult Bone Marrow Transplant at Georgetown University in Washington, DC. Locally,
he is affiliated with the CancerCenters of the Carolinas, St. Francis' partner in bringing allogeneic-related BMT to the Upstate.
With BMT, a physician withdraws stem cells from either the patient or donor,
administers chemotherapy and sometimes radiation to the patient, and then injects
the previously collected stem cells into the patient. The stem cells make their
way through the bloodstream and into the center of the bones, where they begin
to grow. This process, called engrafting, can take from two to four weeks.
Depending on the type of transplant, patients may be hospitalized for a few days
or up to several months. Those undergoing transplants are hospitalized in one
of four special BMT rooms in the Batson Cancer Care Center. These rooms are equipped
with state-of-the-art air filtration systems and other safeguards to help protect
transplant recipients' weakened immune systems. Through the support of the St. Francis Foundation, the rooms are furnished with home-like touches -- such as a laptop computer
and comfortable furnishings -- to help ease the strain of an extended hospital
stay.
Surgery
Two out of three people with cancer will have some type of surgery. Cancer surgery may be curative, meaning it is likely that all the cancerous
tissue can be removed, or it may be palliative. Palliative surgery is intended
to relieve discomfort or disability associated with a cancer-related condition.
Physicians also use surgery to determine if a patient has cancer. Diagnostic surgery is used to remove a sample of tissue for testing; staging
surgery helps determine the extent and severity of the cancer.
Sometimes, preventive, or prophylactic, surgery is recommended for people at
high risk for certain cancers. Most cancer surgery is done on an inpatient basis,
although some surgeries may be performed on an outpatient basis.
Radiation
More than 50 percent of all cancer patients will receive some kind of radiation therapy. Radiation therapy uses high doses of radiation to destroy or damage cancer
cells. It is the primary treatment for many types of cancer. Radiation is concentrated
on the tumor and surrounding area, so radiation exposure to normal, healthy cells
surrounding the area is minimal.
Radiation therapy may be given externally or internally. With internal radiation therapy (brachytherapy),
a radioactive source, usually a seed (or pellet), is implanted into the body near
the tumor. Another type of radiation therapy, radioisotopes, therapy may be taken
by mouth or by injection.
Most patients are able to receive radiation therapy as outpatients, meaning they
can stay at home between treatments. Radiation oncology is provided primarily
at two offices of the CancerCenters of the Carolinas, located near each hospital. Internal radiation in the form of implants may
require the patient to be hospitalized for treatment, although some are able to
go home immediately after the implant is put into place.
Chemotherapy
With chemotherapy, medicines are used to reach cancer cells that may have spread throughout the
body. Unlike radiation therapy, which is focused on a particular part of the body,
chemotherapy enters the bloodstream and circulates throughout.
Chemotherapy can be used for different purposes:
- to cure cancer
- to keep cancer from spreading
- to slow cancer's growth
- to attack cancer cells that may have spread to other parts of the body
- to relieve symptoms caused by cancer
Oncologists at the Batson Cancer Care Center often use a combination of drugs to reach as many cancer cells as possible at
one time without overtaxing the patient's tolerance of a particular drug. This
tag-team approach is called combination chemotherapy.
Typically, patients who receive chemotherapy intravenously will do so at the hospital, either while an inpatient, or on return
visits as an outpatient. Some types of chemotherapy drugs may be taken at home.