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Detailed Guide: Liver Cancer
Radiation Therapy

Radiation therapy uses high-energy rays to kill cancer cells.There are different kinds of radiation therapy.

External beam radiation therapy

This type of radiation therapy focuses radiation delivered from outside the body on the cancer. With liver cancer, this type of radiation therapy can be used to shrink the cancer to relieve symptoms such as pain. But it has not been shown to improve survival. Although liver cancer cells are sensitive to the radiation, this treatment can't be used at very high doses because normal liver tissue is also easily damaged by radiation.

Radiation therapy is much like getting an x-ray, but the radiation is more intense. The procedure itself is painless. Each treatment lasts only a few minutes, although the setup time -- getting you into place for treatment -- usually takes longer. Most often, radiation treatments are given 5 days a week for several weeks.

Three-dimensional conformal radiation therapy (3DCRT) is a newer form of external-beam radiation therapy that uses sophisticated computers to  map the location of a tumor precisely. The patient is fitted with a plastic mold resembling a body cast to keep the body still so that the radiation can be aimed more accurately. Radiation beams are then shaped and aimed at the tumor from several directions. This allows doctors to reduce radiation damage to normal liver tissue and therefore direct higher doses of radiation at tumors. When available, conformal radiation therapy is usually preferred over standard radiation therapy.

Radioembolization

As mentioned in the "Embolization Therapy" section, a newer treatment technique is to inject small radioactive beads into the hepatic artery. They lodge in the liver near tumors and give off small amounts of radiation that travel only a short distance.

Possible side effects of radiation therapy

Side effects of external radiation therapy might include sunburn-like skin problems where the radiation enters the body, nausea, vomiting, and fatigue. Often these go away after treatment. Radiation might also make the side effects of chemotherapy worse.

Last Medical Review: 11/05/2009
Last Revised: 11/05/2009

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