Patient Education Cancer of the Pancreas: A Care Guide | Page 10

Treatment Chemotherapy In most cases the aim of treatment is to control tumor growth and relieve symptoms. Only when pancreatic cancer is found very early is a cure a possibility. Methods of treatment may include radiation therapy, chemotherapy, and surgery. Chemotherapy is the use of medication to destroy cancer cells. It is often given through an IV (intravenous) or by mouth. Because the drugs go throughout the body, they are useful for cancer that has spread beyond the place where it started. Chemotherapy may be used at any stage of pancreatic cancer. It can be used before surgery along with radiation to shrink the tumor ahead of time. It may be used after the cancer has been removed in surgery to try to destroy any cancer cells still in the body. It can also be used for people with advanced cancer. The most common chemotherapy medications used are: • Gemcitabine (Gemzar ® ) • Cisplatin (Platinol-AQ ® ) • 5-FU (Fluorouracil, Adrucil ® ) • Oxaliplatin (Eloxatin ® ) • Erlotinib (Tarceva ® ) • Capecitabine (Xeloda ® ) • Abraxane ® • Immunotherapy These may be used in combination with each other, in combination with radiation therapy, or alone. Chemotherapy can cause side effects, which may include nausea, loss of appetite, mouth sores, diarrhea, or hair loss. Medication is given to prevent nausea, and the nurse will guide you on ways to deal with other side effects. Radiation Therapy Radiation therapy is a cancer treatment that uses beams of high-energy X-rays to kill cancer cells. How and Why it’s Given: • Daily, 5 days a week, for several weeks. • Alone or with chemotherapy. • Before surgery to help reduce the size of the tumor to make removal easier. • After surgery to help prevent the cancer from coming back. • When surgery is not an option, to slow the growth or to help with pain. Radiation Facts: • Radiation treatment does not cause pain. • Side effects are limited to the area that is being treated. • Side effects can build up over time and continue to last for a few weeks after treatment. • Most common side effects are fatigue, decreased appetite, nausea, and diarrhea. Talk with your doctor about medications that may help. 9