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Radiotherapy for cancer

Radiotherapy forms part of the treatment for more than half of all cancers. We support you from your first consultation right through to your final session – on an outpatient basis and on a personal level.

Basics

How does radiotherapy work in the treatment of cancer?

Ionising radiation damages the DNA of tumour cells, preventing them from dividing and causing them to die. Healthy cells surrounding the tumour are better able to regenerate – and radiotherapy exploits this difference.

Modern radiotherapy techniques such as IMRT (intensity-modulated radiotherapy) or stereotactic radiotherapy allow for extremely precise dose distribution: high doses to the tumour, with minimal exposure to surrounding tissue.

Curative vs. palliative radiotherapy: Curative therapy aims to cure the disease. Palliative therapy aims to control symptoms and improve quality of life – for example, in cases of bone or brain metastases.

Indications

Which types of cancer are treated with radiotherapy?

Radiotherapy is indicated for a wide range of malignant diseases – either as a stand-alone treatment or in combination with surgery or chemotherapy.

Breast cancer

Standard procedure following breast-conserving surgery. Significantly reduces the risk of recurrence. Modern techniques minimise the strain on the heart and lungs.

Prostate cancer

An equivalent curative alternative to surgery (for locally confined prostate cancer).

IMRT or – where indicated – brachytherapy, with excellent long-term results

Lung cancer

Stereotactic body radiotherapy (SBRT) may be an alternative to surgery for selected patients undergoing chemoradiotherapy for locally advanced NSCLC.

Lymphomas

Often used in combination with chemotherapy (radiochemotherapy) for Hodgkin’s and non-Hodgkin’s lymphomas.

Brain tumours & metastases

Whole-brain radiotherapy or stereotactic radiosurgery (Gamma Knife / LINAC) for brain metastases.

Rectal and cervical cancer

Pre-operative chemoradiotherapy significantly improves the likelihood of the tumour being operable and the chances of a cure.

Combination therapy

Why combine chemotherapy and radiotherapy?

Radiochemotherapy – the simultaneous use of chemotherapy and radiotherapy – is more effective for many types of tumour than either treatment alone. Cytostatic drugs make tumour cells more sensitive to radiation (radiosensitisation).

At the same time, distant metastases can be treated systemically, whilst local tumour control is optimised by radiotherapy.

FAQ

Questions patients ask about radiotherapy for cancer

First, we will work with you to draw up a radiotherapy plan, based on your test results and a planning CT scan. The actual course of radiotherapy usually begins one to two weeks later. Each session lasts only a few minutes, during which you will lie still on the treatment table. You will not feel the radiation. Follow-up consultations with your doctor will take place regularly.