Mass
revolutions in the fields of technology and medicine have led to breakthrough
in breast cancer treatment. In every cancer center PA, these newly found
therapies are being increasingly made available to breast cancer patients.
INTRODUCTION TO TARGETED THERAPIES
A special branch of methods and medications has been developed by
determining the exact molecular anomalies that are responsible for malignant
growth in cancer. These
targeted drugs work in a different way than the standard medications used with
chemotherapy. At the cancer center PA they are often used along with
chemotherapy for optimum advantage to the patient, and cause less adverse
effects.
This
category of advanced treatments is called targeted therapies. These have been
made with the purpose of causing no damage to normal cells around the cancer
and only aim at specific characteristics of the cancer cells, in order to get
rid of them.
Immune
targeted therapies are antibodies that work like natural antibodies made by our
immune system and are safe for all patients except pregnant and nursing women.
LATEST APPROACHES TO THE TREATMENT OF BREAST CANCER
Research at the
CHUM Research Centre (CRCHUM) and the Peter MacCallum Cancer Centre in
Australia has suggested an alarming correlation between the formulation of a
particular protein called the human epidermal growth factor-2 (HER2) and rapid
growth and spread of cancer cells in 20 to 30 % of breast cancer patients. HER2
status of breast cancer patients can be determined by testing the tumor tissue.
This category of aggressive and hard to cure
cancers are called HER2 positive breast cancers that produce large amounts of
this protein which cover the surface of cancer cells and receives signals that
lead the cancer to proliferate. About one in four of all breast cancers are of
this category.
HERCEPTIN : USE AND EFFECTIVENESS IN NEW THERPAIES
Herceptin a
medication which is chemically known as trastuzumab is a man-made version of a
specific immune system protein which is mainly used for the treatment of HER2
positive cancers. It is administered intravenously to women with positive lymph
nodes and an abnormal HER2/neu gene. This
medication is approved by the U.S. Food and Drug Administration for two
purposes:
I.
For the treatment
ofadvanced-stage HER2-positive
breast cancers
II.
For lowering
the risk
Though contrary to earlier
studies it is now believed that Herceptin canlessen the contingency of
recurrence, only when the cancer is not smaller than 0.5 cm and the cancer is
grade 2 or 3.Additionally it has also been found that this medication also
stimulates the generation of in tereferons that activate lymphocytes.
Lymphocytes are immune cells which if present in tumors can improve the
efficacy of their treatment.
SOME QUERIES ABOUT NEW TARGETED THERAPIES
There
are a few issues that must be addresses by every hospital when new targeted
therapies are recommended to any patient. These include the cost of treatment,
extra tests and follow up checkups needed, side effect and also the status of
the treatment, whether it is pre-tested or just a clinical trial.
Advanced targeted therapies have also brought focus to the customization
of cancer treatment for each patient, the exact estimation of drug
effectiveness and toxic level, and the raised cost of advanced cancer care.
SOME POSSIBLE ADVERSE EFFECTS OF NEW THERAPIES
Some
side effects have been associated with these new therapies:
- Mild fever and chills, weakness, nausea, vomiting, cough, diarrhea, and headache, which tend to reduce after first session.
- Impermanent damage to the heartin some cases requiring constant monitoring.
The
outcomes of the clinical trials and studies of the new medications and methods
they are encouraging. However, researchers advise some caution in their rapid
use till ore conclusive results are established.
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