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2D palliative radiotherapy is particularly recommended for:
Metastatic or inoperable tumours
Individuals who are unfit for surgery or chemotherapy due to age, frailty, or medical conditions
Symptom relief in cases like painful bone metastases, bleeding tumours, brain metastases causing pressure symptoms and airway obstructions
Managing spinal cord compression or superior vena cava syndrome
Quick relief with a short course of treatment
Before starting therapy, the oncologist performs a comprehensive clinical evaluation for the assessment of the tumour site, symptoms, and expected benefits. The exact location is identified through fluoroscopic simulation or X-ray. The oncologist then plans specific radiation fields and doses. The patient’s overall condition is also reviewed to ensure comfort and safety.
During 2D palliative radiotherapy, the radiation machine is positioned with reference markings. The patient lies on the treatment table. Basic immobilisation keeps the patient stable. Depending on the tumour site and symptoms, radiation is delivered from one or more angles, usually over 1–10 sessions. These sessions are outpatient, painless, and last about 10–20 minutes.
After the procedure, patients may go home. Over a few days to weeks, symptoms may gradually decrease. Doctors may schedule routine follow-ups to manage side effects and check symptom control.
Benefits
Rapid symptom relief for pain, bleeding, airway obstruction, and pressure effects caused by advanced or metastatic tumours.
Short treatment duration – often completed in 1 to 10 sessions, suitable for patients with limited life expectancy or poor performance status.
Outpatient and noninvasive procedure, reducing hospital stays and improving patient convenience.
Widely available and cost-effective, especially in resource-limited settings where advanced radiotherapy may not be accessible.
Effective in urgent clinical scenarios like spinal cord compression, superior vena cava syndrome, or brain metastases causing raised intracranial pressure.
Risks
Lower precision compared to 3D conformal or image-guided techniques, due to reliance on basic X-ray imaging for treatment planning
Increased risk to surrounding healthy tissues, especially in anatomically complex regions (e.g., head and neck, thorax, abdomen)
Potential Side Effects such as: Fatigue, Nausea, Skin reactions (radiation dermatitis), and Mucositis or esophagitis (depending on site treated)
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No, the 2D palliative radiotherapy is not painful during the treatment. The machine will not touch the patient during the session. While some patients may experience mild discomfort, a temporary increase in pain, and side effects like fatigue or skin irritation. 2-Dimensional Palliative Radiotherapy in EM Bypass, Kolkata, offers safe and reliable cancer symptom relief and improves patient comfort.
The patient begins to feel better within a few days to weeks, but full recovery may take several weeks, possibly 6 weeks. The recovery time depends on the location of the tumour and the severity of symptoms. Pain relief, in particular, can occur rapidly.
Most 2D palliative treatments do not require hospitalisation. These procedures are usually done on an outpatient basis, allowing patients to return home the same day after their session.
Yes, in some circumstances, 2D palliative radiotherapy can be repeated; this depends on the patient's overall health, time since the last treatment, and the initial dosage.
2D radiotherapy is perfect for rapid symptom alleviation since it uses simpler procedures and basic imaging. Conversely, SBRT/SABR is more accurate and high-tech, making it suitable for oligometastatic or early-stage diseases where long-term control or a curative goal is feasible.
Home Em-bypass Specialities Cancer-care 2-dimensional-palliative-radiotherapy