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AFTER CANCER: MORE QUESTIONS ABOUT AFTER AND LATE EFFECTS


Is There Any Interaction between the Late Effects of Chemotherapy and Radiation Therapy?

Sometimes. There are potential interactions for various combinations of chemotherapy and radiation when given together or sequentially. Some chemotherapeutic agents will cause a flare-up reaction of the area radiated weeks, months, or years prior to the chemotherapy. For example, a region of the skin, lung, kidney, or brain that was radiated can become inflamed following the administration of certain chemotherapy.

What Causes the Physical Aftereffects of Surgery?

Most aftereffects of surgery are experienced immediately and resolve within weeks. Aftereffects are due to

• the anesthesia

• the energy demands of healing of the surgical incision (inside and outside)

•changes in eating habits (e.g., not eating before surgery, eating less after surgery)

• changes in activity level •pain

• a change in sleep patterns

• the need for new medications or changes in medications, especially pain medications

• the adjustment to an amputated or damaged body part, such a surgically altered lung, breast, kidney, or segment of intestine or stomach

• emotional stress

• hormonal changes caused by lost organ function, such as I infertility, metabolic changes, and psychological changes that follow castration, or the metabolic imbalance following removal of parathyroid glands

Does How I Fared with My Cancer Treatment Give Any Clues Whether or Not I Will Have Serious Late Effects?

No. Severe problems during your cancer therapy, such as mo problems, extreme low blood counts, or pneumonia, can be lowed by no late effects. An absence of problems during treatment can be followed by significant late effects.

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