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Iv - University of Salford Institutional Repository

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Localized radiation is the treatment <strong>of</strong> choice in some tumours.<br />

For example, cancer <strong>of</strong> the voice box is <strong>of</strong>ten cured with radiation<br />

treatment with little impairment <strong>of</strong> speech. Although very effective in<br />

treating the tumour, surgery in this case <strong>of</strong>ten drastically impairs<br />

speech function. Localized radiation therapy can cure cancer in<br />

carefully controlled use. As mentioned earlier, radiation can, in<br />

other instances and under other conditions, cause cancer.<br />

Chemotherapy is the method <strong>of</strong> choice in treating many non-localized<br />

cancers, such as leukemia and tumours which have spread. Chemotherapy<br />

utilizes chemicals that interfere with the processes <strong>of</strong> living cells.<br />

Some chemicals mimic metabolites needed by the cells in the synthesis<br />

<strong>of</strong> DNA or RNA. These substances are used by the cell, producing<br />

defective nucleic acid leading to cell death. Some drugs inhibit<br />

protein syntheses and other inhibit respiration. In treating cancer,<br />

drug dose must be carefully regulated because these agents are also<br />

harmful to normal cells. But because tumour cells usually are in a<br />

constant state <strong>of</strong> growth, these drugs tend to become incorporated into<br />

these cells more easily than into normal cells. Individuals undergoing<br />

chemotherapy, however, <strong>of</strong>ten display side effects such as hair loss and<br />

nausea as a result <strong>of</strong> the toxicity <strong>of</strong> these drugs. Many cancers such<br />

as certain leukemia have been treated effectively with chemotherapy.<br />

In fact, while a decade or two ago, leukemia was considered not<br />

curable, now Many people are free <strong>of</strong> the disease for five, ten or<br />

fifteen more years as a result <strong>of</strong> modern chemotherapy.<br />

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