Alternative cancer treatments

1. Head & neck tumors
Presentedby: Ghiada Al-Rashed

2. :Learning objectives
 What alternatives can and
should the doctor offer, and
why?

3. Alternative Cancer Treatments
 Alternative cancer treatments may not play a direct
role in curing the cancer.
 BUT, they may help the patient to cope with signs and
symptoms caused by cancer and cancer treatments.
 To Maintaining a patient’s quality of life and To
improve the comfort is another important goal of
treatment.

4. Related to our patient

5. He is hardly
able to eat
or drink.
His weight
has fallen
by 15 kg.
Worsening
Pain
Constant
thirst.
Dry mouth

6. Hardly able to eat or drink
and His weight has fallen by
15 Kg
Cachexia

7. cachexia
Neck metastasis
&
Side effect of
radiotherapy
Difficulties in
eating and
drinking
Malnutrition and
dehydration
cachexia
• It is loss of weight, muscle atrophy, fatigue and weakness in
someone who is not actively trying to lose weight.
Lead to cause

8. Management of cachexia
By : Nutrition

9. Nutrition
They need it for short- term or long-term.
Preferred mode of feeding Oral route.
Regarding our patient the tumor & side effect of therapy
affects How a person eats or drinks  they will need to
have a other rote of feeding (feeding tube placed)

10. For Long-Term
Gastrostomy Tube Percutaneous Endoscopic Gastrostomy
( PEG tube)
 Feeding tube (catheter) that is
placed through the skin and muscle
of your abdomen directly into your
stomach.
 Placed during an operation.
 Under general anesthesia.
 It is gastrostomy tubes , placed
under endoscopic guidance, using a
much smaller incision.
 Passes through the skin of the
abdomen.
 Under local anesthesia.

11. For Short-Term
 Nasogastric feeding tube ( NG tube):
This tube goes in through the nose, down the esophagus, and into the
stomach.

12. The pain is worsening
Analgesic
s

13. Pain
 If the patient have severe pain,
the doctor will try to find the
treatment plan that best relieves
patient’s pain with the fewest side
effects.
 Pain is caused by : the cancer itself, But can
also be caused by cancer-related treatment
or tests.

14. Stepfor Treatment Cancer Pain:
Use non-
opioids
e.g:
Paracetamol
or
NSAID
Add mild-
opioids
e.g:
Tramadol
Replace
mild-opioids
with strong-
opioid
e.g:
Morphin
Refer for
invasive pain
management
ANALGESIC

15. Constant thirst
Xerostomia

16. Xerostomia
 Xerostomia is defined as dry mouth resulting from
reduced or absent saliva flow.
 It is the most common side effect may be caused by
either chemotherapy or radiation therapy.

17. Management of Xerostomia
• Medications that  stimulate the salivary glands such
as pilocarpine.
• Medication that  prevent or lessens the side effect of
radiation treatment e.g. amifostine.

18. There is a metastasis in the neck
which threatens to perforate the
skin.
Carotid
blowout
syndrome

19. • This is an extremely high risk condition
associated with significant degrees of
morbidity and mortality.
• Is defined as rupture of the carotid artery
that caused by head and neck tumor.
• Result of radiotherapy which cause a
fetal hemorrhage.
Carotidblow out syndrome
• Saving lives of these patients Rapid
diagnosis of this condition and active
intervention will help in.

20. Management
 Endovascular therapy:
• Stent graft placement

21. Summary
How to deal
with pain,
dray mouth,
unable to eat
Carotid blow
out syndrome
Alternative
cancer
treatments

22. References
 http://www.cancer.org/cancer/oralcavityandoropharyngeal
cancer/detailedguide/oral-cavity-and-oropharyngeal-
cancer-treating-pain-control
 http://www.drtbalu.co.in/cartoid_blow.html
 http://www.cancer.org/treatment/survivorshipduringandaft
ertreatment/nutritionforpeoplewithcancer/nutritionforthepe
rsonwithcancer/index#t6UBHrKSbH3dAeyY.97
 http://www.cancer.org/cancer/oralcavityandoropharyngeal
cancer/detailedguide/oral-cavity-and-oropharyngeal-
cancer-treating-pain-control
 http://www.cancer.org/treatment/treatmentsandsideeffect
s/physicalsideeffects/pain/paindiary/pain-control-treating-
cancer-pain