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| Home > Medical and Radiation Oncology |
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Medical and Radiation Oncology
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Chemotherapy and radiation therapy maybe used as a first-line, neoadjuvant or adjuvant setting depending on the type of cancer. In addition to newer, less toxic chemotherapeutic agents, our drug protocols include antiangiogenesis agents and targeted agents. All patients are evaluated and counseled regarding clinical trial participation.
Radiation may be used preoperatively to shrink the tumor or postoperatively to sterilize the tumor bed. Radiation therapy is tailored to the location, extent and type of cancer, with attention to the patient’s overall status.
Multidisciplinary Treatment Planning
Our skilled cohort of gastrointestinal, hepatobiliary and pancreatic surgical specialists works closely with medical oncologists, radiation oncologists, nutritionists, interventional gastroenterologists, radiologists and a genetic counselor. This multidisciplinary team discusses each case and tailors a treatment plan that may incorporate advanced surgical procedures, bloodless/ transfusion-free surgery, laparoscopic and robotic techniques, enhanced diagnostic tools and medical treatments.
Gastroenterology & Interventional Endoscopy
Our GI specialists perform a full range of endoscopic screening and diagnostic procedures, including upper GI endoscopy, colonoscopy, endoscopic stenting and endoscopic retrograde cholangiopancreatography (ERCP). ERCP has traditionally been the endoscopic procedure of choice for the evaluation of patients with suspected pancreatic cancer. Endoscopic ultrasound (EUS) complements many of the features of ERCP by providing more accurate imaging of the pancreas and its relationship to some of the major blood vessels.
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Intensity Modulated Radiation Therapy (IMRT) for Pancreatic Cancer
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Radiation Oncology & Medical Oncology
Radiation therapy and chemotherapy maybe used as a first-line, neoadjuvant or adjuvant setting depending on the type of cancer. In addition to newer, less toxic chemotherapeutic agents, our drug protocols include antiangiogenesis agents and targeted agents. All patients are evaluated and counseled regarding clinical trial participation.
Radiation may be used preoperatively to shrink the tumor or postoperatively to sterilize the tumor bed. Radiation therapy is tailored to the location, extent and type of cancer, with attention to the patient’s overall status.
Latest Technological Advances in Radiation Treatment of Pancreatic Cancer
Local recurrence although low, continues to be a problem in the management of pancreatic cancer. Delivery of adequate radiation doses to the pancreas has been limited by the radiation-sensitive surrounding normal structures in the upper abdomen. The development and clinical use of Intensity Modulated Radiation Therapy (IMRT) and Image Guided Radiation Therapy (IGRT) have allowed for even higher doses of radiation to be delivered safely with the utmost precision and dramatically less toxicity.
IMRT uses high speed computer modeling to plan a precise dose of radiation in three dimensions, based on individual anatomy, tumor size, shape, and location. IMRT directs radiation at the tumor target while modulating the intensity of pencil-thin beams of radiation with laser accuracy. IGRT uses x-ray and/or CT images immediately prior to each daily treatment to locate the tumor target ensuring that the desired tumor is correctly treated while the surrounding normal tissue is spared.
This selective tumor targeting in conjunction with cutting edge concurrent chemotherapy allows for far more intense treatment, greatly reduced toxicity, and better overall outcomes.
The Radiation Oncology Team including Dr. Wollman and Dr. Song are outstanding and very pleased to offer this cutting edge treatment.
Related Links:
Pancreatic Cancer
Liver Cancer
Bile Duct Cancer
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