{"id":1515,"date":"2018-12-27T11:39:03","date_gmt":"2018-12-27T11:39:03","guid":{"rendered":"https:\/\/dev.i24.cc\/seabert\/service\/breast-care-clinic\/chemo-strahlen-antihormonelle-therapien\/"},"modified":"2019-01-27T17:14:26","modified_gmt":"2019-01-27T17:14:26","slug":"chemo-radiation-endocrine-therapy","status":"publish","type":"page","link":"https:\/\/www.dr-seabert.de\/en\/service\/breast-care-clinic\/chemo-radiation-endocrine-therapy\/","title":{"rendered":"Chemo-, Radiation- &#038; Endocrine Therapy"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1515\" class=\"elementor elementor-1515 elementor-583 elementor-bc-flex-widget\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f55523b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f55523b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-23b0489\" data-id=\"23b0489\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-1319fff elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1319fff\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-inner-column elementor-element elementor-element-6a15f3f\" data-id=\"6a15f3f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9276191 elementor-widget elementor-widget-text-editor\" data-id=\"9276191\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Treatment of breast cancer is based on 4 main pillars:<\/p><ul class=\"\"><li>Surgery<\/li><li>Chemotherapy<\/li><li>Radiation therapy<\/li><li>Endocrine therapy<\/li><\/ul><p>Which or how many pillars are required for successful treatment depends on many factors and differs from woman to woman. That means that cancer treatment is very individualized and can vary according to age, health status and especially from the tumor biology and stage.<\/p><p>After the information is gathered through various examinations, e.g. chest x-ray, abdominal ultrasound and a bone scan) a tumor board convenes to discuss the results and to make a further treatment recommendation. The tumor board consists of experts in the treatment breast cancer, i.e. gynecologists, oncologists, radiation therapists, pathologists, psycho-oncologists and radiologists. Other specialists are invited to the tumor board whenever needed. The tumor board makes a recommendation based on all available information as to which of the treatment modalities would be of benefit for cure or for improvement. This is only a recommendation, a treatment is done only with patient consent.<\/p><p><strong>CHEMOTHERAPY<\/strong> is given generally in an ambulatory setting, usually as an infusion over a few hours. The i.v. medications are given every three weeks, called a cycle. Most regimens have 6-8 cycles, i.e. 18 &#8211; 24 weeks of therapy. However, there are many different regimens and it is not possible to make an exact statement to how many cycles, the cycle frequency or to the possible length of treatment. Chemotherapy is very individualized so specific information will be given prior to treatment.<\/p><p><strong>RADIATION THERAPY<\/strong> is done after breast conserving treatment and is sometimes recommended after mastectomy. Radiation therapy is performed to reduce local recurrence of cancer in the remaining breast tissue, chest wall or in the lymphatic tissue. The recommendation is made at the time of the tumor board. A typical treatment takes about 5 weeks, 5 days per week for a few minutes at a time. Newer forms of radiation therapy have made serious side effects more seldom. The risks and benefits as well as side effects will be discussed with the radiation therapist before treatment begins.<\/p><p>The <strong>ENDOCRINE THERAPY<\/strong> is an anti-hormone therapy and consists of medications that either modify the estrogen receptor on cells to block the effects of estrogen or by inhibiting estrogen production. Tamoxifen is a selective estrogen receptor modifier and been used very successfully for a long time in the treatment of estrogen receptor po\u00adsi\u00adtive breast cancer. A newer medication group are the aromatase inhibitors. They block estrogen production by inhibiting a specific enzyme in the estrogen synthesis pathway. These medications are not strong enough to overpower the ovarian production of estrogen, therefore are recommended only after menopause.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-90e573c\" data-id=\"90e573c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7c3c928 elementor-widget elementor-widget-wp-widget-fpw_widget\" data-id=\"7c3c928\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wp-widget-fpw_widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n<article class=\"fpw-clearfix fpw-layout-seabert-teaser\">\n\t\n\t<h3 class=\"fpw-page-title seabert-teaser-h3\">\n\t\t<span id=\"teaser-title-1\">\n\t\t\tJoHo\t\n\t\t<\/span>\n\n\t\t<span id=\"teaser-title-divider\">|<\/span>\n\n\t\t<span id=\"teaser-title-2\">\n\t\t\tHospital\t\t<\/span>\n\t<\/h3>\n\n\t<div class=\"fpw-featured-image seabert-teaser-image\">\n\t\t<a href=\"https:\/\/www.dr-seabert.de\/en\/service\/breast-care-clinic\/inpatient-gynecologic-surgery\/\" target=\"_self\" title=\"Inpatient Gynecologic Surgery\" class=\"fpw-featured-link\">\n\t\t\t<img decoding=\"async\" width=\"78\" height=\"82\" src=\"https:\/\/www.dr-seabert.de\/wp-content\/uploads\/2018\/12\/icon_joho.png\" class=\"attachment-fpw_square size-fpw_square wp-post-image\" alt=\"\" \/>\t\t<\/a>\n\t<\/div>\n\n\t<div class=\"fpw-excerpt seabert-teaser-excerpt\">\n\t\t<a href=\"https:\/\/www.dr-seabert.de\/en\/service\/breast-care-clinic\/inpatient-gynecologic-surgery\/\" target=\"_self\" title=\"Inpatient Gynecologic Surgery\" class=\"fpw-featured-link seabert_excerpt_link\">\n\t\t\t<p>Dr. Seabert has hospital privileges at St. Josefs-Hospital in Wiesbaden where in-patient and out-patient &#8230;<\/p>\n\t\t<\/a>\n\t\t<p class=\"seabert-teaser-excerpt-link-arrows\">\n\t\t\t<a href=\"https:\/\/www.dr-seabert.de\/en\/service\/breast-care-clinic\/inpatient-gynecologic-surgery\/\" target=\"_self\" title=\"Inpatient Gynecologic Surgery\"class=\"fpw-featured-link seabert_excerpt_link\">\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.dr-seabert.de\/wp-content\/themes\/seabert\/assets\/images\/teaser\/doppelpfeil.png\">\n\t\t\t<\/a>\n\t\t<\/p>\n\t<\/div>\n\n<\/article>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4687238 elementor-widget elementor-widget-wp-widget-fpw_widget\" data-id=\"4687238\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wp-widget-fpw_widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n<article class=\"fpw-clearfix fpw-layout-seabert-teaser\">\n\t\n\t<h3 class=\"fpw-page-title seabert-teaser-h3\">\n\t\t<span id=\"teaser-title-1\">\n\t\t\tBreast\t\n\t\t<\/span>\n\n\t\t<span id=\"teaser-title-divider\">|<\/span>\n\n\t\t<span id=\"teaser-title-2\">\n\t\t\tTightening\t\t<\/span>\n\t<\/h3>\n\n\t<div class=\"fpw-featured-image seabert-teaser-image\">\n\t\t<a href=\"https:\/\/www.dr-seabert.de\/en\/service\/breast-care-clinic\/breast-tightening-lifting\/\" target=\"_self\" title=\"Breast Tightening\/Lifting\" class=\"fpw-featured-link\">\n\t\t\t<img decoding=\"async\" width=\"78\" height=\"82\" src=\"https:\/\/www.dr-seabert.de\/wp-content\/uploads\/2018\/12\/icon_bruststraffung.png\" class=\"attachment-fpw_square size-fpw_square wp-post-image\" alt=\"\" \/>\t\t<\/a>\n\t<\/div>\n\n\t<div class=\"fpw-excerpt seabert-teaser-excerpt\">\n\t\t<a href=\"https:\/\/www.dr-seabert.de\/en\/service\/breast-care-clinic\/breast-tightening-lifting\/\" target=\"_self\" title=\"Breast Tightening\/Lifting\" class=\"fpw-featured-link seabert_excerpt_link\">\n\t\t\t<p>With time or after pregnancy the breast tissue may lose its elasticity and fullness. Breast tightening or lifting is a &#8230;<\/p>\n\t\t<\/a>\n\t\t<p class=\"seabert-teaser-excerpt-link-arrows\">\n\t\t\t<a href=\"https:\/\/www.dr-seabert.de\/en\/service\/breast-care-clinic\/breast-tightening-lifting\/\" target=\"_self\" title=\"Breast Tightening\/Lifting\"class=\"fpw-featured-link seabert_excerpt_link\">\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.dr-seabert.de\/wp-content\/themes\/seabert\/assets\/images\/teaser\/doppelpfeil.png\">\n\t\t\t<\/a>\n\t\t<\/p>\n\t<\/div>\n\n<\/article>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Treatment of breast cancer is based on 4 main pillars. &#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1438,"menu_order":7,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[26,24,25],"tags":[],"class_list":["post-1515","page","type-page","status-publish","hentry","category-breast-care-clinic","category-general","category-service"],"_links":{"self":[{"href":"https:\/\/www.dr-seabert.de\/en\/wp-json\/wp\/v2\/pages\/1515","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dr-seabert.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.dr-seabert.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.dr-seabert.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dr-seabert.de\/en\/wp-json\/wp\/v2\/comments?post=1515"}],"version-history":[{"count":0,"href":"https:\/\/www.dr-seabert.de\/en\/wp-json\/wp\/v2\/pages\/1515\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.dr-seabert.de\/en\/wp-json\/wp\/v2\/pages\/1438"}],"wp:attachment":[{"href":"https:\/\/www.dr-seabert.de\/en\/wp-json\/wp\/v2\/media?parent=1515"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.dr-seabert.de\/en\/wp-json\/wp\/v2\/categories?post=1515"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.dr-seabert.de\/en\/wp-json\/wp\/v2\/tags?post=1515"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}