Patient Information Booklets

Managing Cancer


Among the many contributions of innovation and technology is the ability to provide better treatment options in the healthcare industry. One of the key areas technology has made an impact in is the treatment of cancer.

Although the cause of cancer is uncertain, with technology today, managing cancer has become less challenging.

Read more about the different areas involved in healthcare that supports the management of cancer in the link below.

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The Reality of Cancer


Our cells are the building blocks of our body and when the growth process of these cells go wrong, it forms a mass called a tumour. A malignant tumour is cancerous and there are more than a hundred types of cancer with symptoms that vary depending on the type.

In Malaysia, cancer is considered the most lethal killer disease among all, with several types of cancer being the main contributors to the high mortality rate each year.

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Gamma Knife


More than 80,000 patients undergo Gamma Knife surgery every year.

Regarded as the Gold Standard in intracranial radiosurgery, it is preferred for its extreme accuracy, efficiency and outstanding therapeutic response.

2 to 4 times better sparing of normal brain tissue compared with other stereotactic platforms.

Up to 130 times lower dose to the rest of the body compared with traditional linear accelerates.

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IORT


IORT stands for Intraoperative Radiotherapy. IORT is a technique of delivering radiotherapy directly to the tissues surrounding the cancer (also known as tumour bed) during surgery. This new technique will greatly reduce radiation exposure and the length of treatment time

INTRABEAM IORT is delivered during breast conservation surgery (also known as lumpectomy) in the operating room while the patient is still asleep. After the tumour is removed, a miniaturised radiation device is inserted into the lumpectomy cavity. Therapeutic radiation is then directed immediately and precisely where it is needed most – the location where the cancer was removed. Localising the radiation inside the breast is effective because this is where the cancer is most likely to recur. INTRABEAM IORT is delivered as a 30-45 minute treatment during surgery.

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Hyperthyroidism


e thyroid is a small gland in your neck, in front of your windpipe. It produces a hormone called thyroxine which regulates the body's metabolism. Hyperthyroidism is a medical condition of overactive thyroid gland, which leads to excessive thyroxine hormone secretion.

Common causes of hyperthyroidism are autoimmune condition known as Graves' disease (when your body immunity acts against your own body) and benign single or multi nodular goiter.

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PET/CT Scan


FDG PET/CT (Positron Emission Tomography/Computed Tomography) is a powerful imaging technique that combines both CT scan and PET scan using radioactive sugar (FDG – 18F-fluorodeoxyglucose) as the tracer.

It provides comprehensive information on the abnormal activity and function of cells (obtained by PET) as well as the precise location of these abnormalities in the body (obtained by CT).

This leads to more accurate assessment of your current medical condition especially cancer, brain disorder, heart disease and infective/ inflammatory disease.

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A guide to external radiation therapy


Radiation therapy (radiotherapy) is a cancer treatment that uses high doses of radiation to kill cancer cells and stop them from spreading. At low doses, radiation is used as an x-ray to see inside your body and take images.

Radiation therapy does not kill cancer cells immediately. It takes days or weeks of treatment before cancer cells start to die. After that, cancer cells keep dying for weeks or months after radiation therapy end.

Radiation therapy can be external beam (when a machine outside your body aims radiation at cancer cells) or internal (when radiation is put inside your body, in or near the cancer cells).

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Tomotherapy Radixact-X9


Tomotherapy is a new way of treating cancer with radiation. It combines three elements into one integrated system.

Tomotherapy is both a treatment delivery machine and a CT scanner that allows experts to take a CT scan right before each cancer treatment.

Tomotherapy Radixact-X9 is an emerging modality or radiotherapy which controls and destroys malignant cells with high intensity radiation.

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Varian TrueBeam STx


The TrueBeam STx technology is a revolutionary innovation in cancer treatment. It expands radiotherapy treatment options for even the most challenging cancer cases in the lung, breast, head and neck, abdomen, liver and other regions.

The system uses sophisticated 4D imaging to target and treat tumours with pinpoint accuracy. Images can be generated using 25% less X-ray dose. These images are used to fine-tune a patient's position prior to and during the treatment process.

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A Guide to Chemotherapy


Chemotherapy (also called chemo) is a type of cancer treatment that uses drugs to destroy cancer cells. Many types of drugs are used in chemotherapy, all of which destroys cancer cells in different ways. It is a systemic therapy, meaning it affects the entire body.

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Da Vinci Surgical System


The da Vinci Surgical System allows surgeons to perform complex minimally-invasive surgical procedures with precision and accuracy.

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Kidney Cancer Treatment with da Vinci Surgical System


There are many different types of kidney cancer. The most common type is renal cell carcinoma which accounts for more than 80% of all kidney cancers. The good news is that most of kidney cancers are found before they spread (metastasise) to other organs. Cancers that are detected early can be treated with better success rate.

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Prostate Cancer Treatment with da Vinci Surgical System


Prostate cancer occurs in the prostate gland when abnormal cells develop in the prostate. It is one of the more common cancers globally and usually affects men aged 50 and above. Prostate cancer is generally a slow growing disease and often has no early symptoms.

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Living with Head and Neck Cancers


When someone mentions cancer, head and neck cancers rarely come to mind. Despite that, head and neck cancers are very common in Malaysia. This type of cancer generally forms in the squamous cells (cells that line the moist mucosal areas in the head and neck).

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Poster Presentation

Y-90 bremsstrahlung SPECT/CT


Y-90 is effectively a pure beta emitter, i.e., it lacks discrete energy photon emissions, such as gamma rays and/or characteristics fluorescence x-rays. The x-ray photon emitted by Y-90 are very low in both yield and energy (<< 18 keV), and the gamma photons emitted by Y-90 have an insignificant yield and very high energy (~2 MeV).

Y-90 activity distribution in vivo is traditionally assessed by imaging the bremsstrahlung photon, which is produced from interactions of energetic beta particles with soft tissue, using planar and/or SPECT/CT imaging.

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Optical Surface Monitoring System


Radiotherapy set up during CT Simulation requires permanent tattoos on patient skin for reproducibility and daily setup Several studies report that these marks can cause anxiety and body confidence issues and needle prick incidence might be occurred.

The purpose of this study to assess the feasibility and accuracy of using Optical Surface Monitoring System (Vision RT) as an surface guided radiotherapy OSMS is a technique that using non ionizing camera technology to track patients’ surface in 3 D for both daily setup and motion management during radiotherapy treatment delivery.

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PET/CT Simulation


Positron Emission Tomography Computed Tomography (PET CT) scan, which combines the benefit of metabolic PET data and anatomical CT data, has been clinically proven to provide valuable information which could improve the accuracy of the target volume delineation.

However, the process of co registration of an existing PET CT images with CT simulation images could hinder the accuracy of co registration due to the fact that the patient’s position during PET CT scan is different from the patient's position during CT simulation.

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Phantom Validation Of Geometric Accuracies of 3T MRI


Increasing the MRI field strength may enhance visualization and resolution of small brain lesions, in turn improving the accuracy of GKRS delivery.

However, concerns remain regarding the influence on geometric distortion caused by the metallic stereotactic skull frame, posts and fixation screws in a frame based Gamma Knife Radiosurgery.

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Radioactive Iodine (RAI)


Radioactive iodine (RAI), also known as I-131, is used following surgery for certain types of thyroid cancer; specifically, follicular and papillary and hyperthyroidism.

The physical properties of iodine as well as its beta particle emission makes it an ideal agent that is specifically absorbed by the thyroidal cell and subsequently results in radiation-induced cellular apoptosis.

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Nurse Lead Grade Based Radiotherapy Side Effect Management


Radiotherapy is an important modality in the management of cancer treatment. All patients receiving external radiotherapy are at potential risk of developing radiation toxicities within the treatment field but there was inconsistency in side effects recording due to the the free text format and there was no standard in side effects management as each Oncologists had their own preferred methods.

Hence, it is crucial to introduce a standard for scoring and managing radiotherapy side effects for consistent and accurate analysis of the radiation toxicities.

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XSpect Bone Scan


Prostate cancer is one of the most common cancers affecting men worldwide, and a bone scan is part of the staging modality used to evaluate asymptomatic bone metastasis.

A bone scan with diffusely increased skeletal tracer uptake relative to soft tissue in association with absent or faint renal activity is known as a superscan (Manohar et. al., 2016).

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Gamma Knife Radiosurgery


Treating large brain metastases with radiosurgery has been a challenging task compared with smaller metastases, mainly due to the need of reducing the toxicity risk to the adjacent tissues and improving the local tumour control at the same time.

Cleveland Clinic, which pioneering in two-stage Gamma Knife (GK) Stereotactic Radiosurgery (SRS) has reported a dramatically improvement of the local control rate when doses were divided into two fractions in about a month apart, while minimising the adverse radiation effects (Angelov L et al., 2017) [1].

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Stereotactic Body Radiation Therapy in Lung Tumour


Stereotactic body radiotherapy (SBRT) is the treatment of choice for patients with primary or metastatic lung tumor, who are medically inoperable or refuse surgical resection.

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Journal Articles

Morphine use for cancer pain


The incidence of pain has been reported to be over 50% in cancer patients in general and more than 90% in those with advanced cancer. Additionally, undertreated cancer pain occurs in 43% of cancer patients, with greater patient-perceived barriers to cancer pain management in Asian patients.

Suboptimal pain control affects the daily activities of cancer patients and their caregivers and changes the focus of their relationship. This can further result in psychological and emotional distress.

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Ga-PSMA PET/CT and F-FDG PET/CT


Recent case reports and series have demonstrated the usefulness of 68Ga/18F-PSMA PET/CT in restaging recurrent renal cancer after nephrectomy. We presented a case of a patient with renal mass who had undergone both 18F-FDG and 68Ga-PSMA PET/CT for diagnosis and staging.

Concordant tracer uptake in the primary tumor and metastatic lesions was demonstrated by both radiotracers. Final histopathological reports revealed clear cell renal cell carcinoma. Furthermore, unusual left metacarpal bone metastasis was also detected.

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Cancer News

Advanced Medical Technology for More Diverse Cancer Treatments


Advanced Medical Technology for More Diverse Cancer Treatments

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High incidence of cancer in an ageing society


High incidence of cancer in an ageing society

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Radiotherapy masks transformed into hero masks


Radiotherapy is mandatory for many cancer patients and for patients with head and neck cancer, they are required to have a thermoplastic mask securely attached to their head while undergoing radiotherapy.

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Neoadjuvant Chemotherapy | Chemotherapy | Breast Cancer | Sunway Medical Centre


Blogpost. Articles and news about health and wellness. Community Happenings. View upcoming events in and outside of SunMed. QUIT Smoking. We offer private and personalised consultations

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Cancer | Illustrations | Sunway Medical Centre


People tend to have a negative perception on hospitals – indifferent white treatment rooms, the pungent smell of antiseptic and unsettling emotions of fear, anxiety and sadness.

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Introduction of an anti-cancer weapon


According to the World Health Organization (WHO), cancer is the second leading cause of death worldwide causing an estimated 9.6 million deaths in 2018 – that makes one out of every six deaths occurring from cancer.

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Cancer in Children


Cancer in children is rare, but parents cannot afford to take this disease lightly. In the United States, as many as 15,600 new cases involve cancer among children and adolescents between the ages of 0 and 19.

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Taking steps to up cancer fight


Cancer is the fourth most common cause of death in Malaysia, with approximately 37,000 cases reported every year. It is estimated that this number will rise to more than 55,000 newly-diagnosed cases by 2030.

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Breast Cancer: The No.1 Killer in Women


Breast Cancer: The No.1 Killer in Women

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Preventing Cervical Cancer


In Malaysia, only 22.2% of women aged between 20 and 65 have their cervical cancer screening every one to three years, while the rest fail to do so.

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Cancer: A Time Bomb


Cancer was not a common disease but today, various cancers are leading patients to their end. This situation is influenced by financial constraints among the low income groups (B40), allowing them to only seek treatment when they are already at Stage 3 or 4 of the disease.

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Combining Eastern and Western approaches


Sunway Group Healthcare has opened its first traditional and complementary medicine (TCM) centre at Sunway Geo Avenue in Bandar Sunway. Representing a holistic approach to medicine and health, Sunway TCM Centre aims to pair the traditional and cultural practices of the East with the modern, technology-driven approach of the West.

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