In the end stage cancer patients where in the cure is an obligate failure necessitates the palliation approach which focuses on creating an easy and comfort life to the patient rather than treating them as an experimental model for the research [1]. Palliation approach would help in the quality improvement of the end stage life whose recovery cannot be expected. Various palliation therapies hav...

The purpose of this study was to report the outcomes of patients with symptomatic locally advanced/recurrent gastric cancer treated with radiotherapy (RT) using modern 3-dimensional conformal techniques.We retrospectively reviewed patients who had palliative RT for index symptoms of gastric bleeding, pain, and obstruction. Study endpoints included symptom response, median survival, and treatmen...

Only 10% to 20% of pancreatic tumors are resectable at the time of diagnosis. Patients with advanced disease have a median survival of 4.9 months. Palliation is often required for biliary or duodenal obstruction, or both, and for pain. Optimal palliation should guarantee the shortest possible hospital stay and as long a survival as possible with a good quality of life. In recent years, treatmen...

introduction: involvement of the skeleton can cause an excruciating pain in two-thirds of terminal patients with a history of malignancy. due to several limitations of other therapies, such as analgesics, bisphosphonates, chemotherapy, hormonal therapy and external beam radiotherapy; bone-seeking radiopharmaceuticals have an important role in palliation of pain from bone metastases. although th...

Metastatic involvement of the bone is one of the most common causes of pain in cancer patients. Of the estimated 1.4 million patients who will be newly diagnosed with cancer in the United States this year, 30% to 70% will develop skeletal metastases.2,3 The most common primary malignancies that metastasize to the bone are breast, kidney, lung, and prostate (Table 1). The most common sites of me...

Purpose: To assess clinical outcomes after using IG-IMRT for palliation among patients with advanced cancers. Methods: Patients with advanced and/or metastatic cancers were treated on our Tomo-PAL (Tomotherapy-Planning and Administration Linked) protocol using helical TomoTherapy and evaluated to assess clinical efficacy of treatment as well as to assess side effects. Results: A total of 40 pat...