Pinnacle - Jupiter Medical Center

Fall 2018

Pinnacle is the official magazine of Jupiter Medical Center which provides world class health care in Palm Beach County

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Page 38 of 79 | PINNACLE | 37 "Watson is yet another tool we use to aid in the creation of a comprehensive cancer plan," says Pinelli. In terms of treatment, the primary courses are still surgery, chemotherapy, and radiation therapy. But novel techniques and technolo- gies like electron intraoperative radiation therapy (e-IORT) have led to a refinement of all three at the hospital, translating to a far less time-consuming and devastating experience for the patient. Emerging treatments such as gene therapy and immunotherapy are also being explored, which will offer even more opportunities for the improvement of quality of life both during and after treatment. Of all three primary treatment methods, chemotherapy has arguably endured the greatest stigma with a "one-size-fits-all" approach that people associate with a higher degree of suffering. But, explains Dr. Nancy Taft, medical director of the comprehensive breast program, an increased understanding of molecular biology and tumor genetics has led to agents that are less harmful to the pa- tient. "There are now so many more agents to help with nausea, protect bone marrow, and help with other side effects," she says. "So there are a lot more options." Pinelli elaborates: "We now have new medications that target the cancer cells more than normal cells at the cellular and molecular level. By doing the treatment that way—either adding to traditional chemotherapy or being able to offer this as a sort of a maintenance after someone finishes traditional treatments—patients may be able to avoid being burdened with continued chemotherapy treatments and have a longer progression-free interval. And hopefully, that translates to better survival and overall quality of life." In radiation oncology, one of the most promising advances has been the develop- ment of stereotactic radiation therapy, wherein the radiation beam is confined in order to tar- get much smaller, more precise regions of a tumor and its immediate surroundings. This is carried out at the Ella Milbank Foshay Cancer Center at Jupiter Medical Center by use of the CyberKnife® ¨ M6. "We're able to get a stronger beam to the point you want to be at," says Lee. This allows a patient potentially to under- go, in a single day, a course of radiotherapy that would previously have taken at least six

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