You have your radiotherapy treatment for laryngeal cancer in the hospital radiotherapy department. You will be in the same position you were in for your planning appointment and have to lie very still while you have the treatment.
What is it?
Radiotherapy means the use of radiation, usually x-rays, to treat cancer cells.
You usually have a type of radiotherapy called intensity modulated radiotherapy (IMRT) for laryngeal cancer. IMRT directs a precisely targeted dose of radiation to the area of the tumour from outside the body.
When you have it
You might have radiotherapy:
- on its own
- after surgery
- with chemotherapy or biological therapy
- to relieve symptoms
The radiotherapy room
Radiotherapy machines are very big. They rotate around you to give you your treatment. The machine doesn't touch you at any point.
Before you start your course of treatment your therapy radiographers explain what you will see and hear. In some departments the treatment rooms have docks for you to plug in your music player. So you can listen to your own music.
It is important to lie in the same position each time, so the radiographers may take a little while to position you on the couch and attach your mask to the couch. They make sure your mask feels comfortable.
Once you are in the right position the staff leave you alone in the room.
During the treatment
You need to lie very still on your back. Your radiographers might take images (x-rays or scans) before your treatment to make sure that you're in the right position. The machine makes whirring and beeping sounds. You won’t feel anything when you have the treatment.
Your radiographers can see and hear you on a CCTV screen in the next room. They can talk to you over an intercom and might ask you to hold your breath or take shallow breaths at times. You can also talk to them through the intercom or raise your hand if you need to stop or if you're uncomfortable.
The treatment can take between 15 to 30 minutes.
Daniel (radiographer): Before your treatment starts your doctor will need to work out exactly where the treatment needs to go and also which parts need to be avoided by the treatment.
To have radiotherapy you lie in the same position as you did for your planning scans.
To stop you moving and to make sure your treatment is directed at the cancer you wear a custom mask over your face which is attached to the couch.
We line up the machine using marks on your mask and then leave the room. We control the machine from a separate room this is so we aren’t exposed to radiation.
Treatment takes a few minutes and you’ll be able to talk to us using an intercom. We can see you and hear you while you’re having treatment and we will check that you’re OK.
When your treatment starts you won’t feel anything. You may hear the machine as it moves around you giving the treatment from different angles.
Because we’re aiming to give the same treatment to the same part of the body every day the treatment process is exactly the same everyday so you shouldn’t really notice any difference.
You’ll see someone from the team caring for you once a week while you’re having treatment. They’ll ask how you are and ask about any side effects.
You won't be radioactive
This type of radiotherapy won't make you radioactive. It's safe to be around other people, including pregnant women and children.
Travelling to radiotherapy appointments
Tell the radiotherapy department if you prefer treatment at a particular time of day. They can try to arrange this.
Car parking can be difficult at hospitals. It’s worth asking the radiotherapy unit staff:
- if they can give you a hospital parking permit
- about discounted parking rates
- where you can get help with travel fares
- for tips on free places to park nearby
If you have no other way to get to the hospital, the radiotherapy staff might be able to arrange hospital transport for you. But it might not always be at convenient times. To see if you're eligible they usually work it out based on your earnings or income.
Some hospitals have their own drivers or can arrange ambulances. Some charities offer hospital transport.
Radiotherapy for laryngeal cancer can make you make feel tired. You might also have a dry mouth and a sore throat.