Chemotherapy
Chemotherapy is treatment with anti-cancer drugs given to destroy or control cancer cells.
There are over 50 different chemotherapy drugs which can be given on their own or with other chemotherapy drugs. This is called combination chemotherapy.
How chemotherapy works
Chemotherapy drugs destroy cancer cells by damaging them so they cannot divide and grow. They work by entering your blood stream and reaching all parts of your body. This is called systemic treatment.
Chemotherapy drugs can affect normal cells which can cause side effects. These side effects are normally temporary as the healthy cells grow back to normal quickly. Permanent damage is rare with most chemotherapy.
There are three main reasons why we give chemotherapy to patients:
- Neo-adjuvant therapy: chemotherapy given before surgery with the aim to shrink the tumor, allowing the surgeon to have a better chance of removing a cancer.
- Adjuvant therapy: given after surgery, usually to prevent the cancer coming back again in the future.
- Palliative chemotherapy: if the cancer has spread to other parts of the body, the aim is to relieve symptoms and slow the growth of the cancer.
Contact
Chemotherapy Day Treatment
University Hospital Lewisham: Suite 8, Outpatients
Phone: 020 8333 3000, extension 6652
Queen Elizabeth Hospital
Day Treatment Suite
Phone: 020 8333 3000, extension 5310
Patient helpline
Telephone support from the chemotherapy team is available for patients 24 hours a day.
If your care is based at University Hospital Lewisham:
Phone: 07833 435 950
Monday to Friday, 8.30am-5pm. Outside of these hours, please telephone 020 7188 3754
If your care is based at Queen Elizabeth Hospital:
Phone: 07795 612 236
Monday to Friday, 8.30am-5pm. Outside of these hours, please telephone 020 7188 3754
Chemotherapy services
Our aim is to treat you as close to home as possible. Most tests, such as blood tests and x-rays can be carried out in your nearest hospital but for some complex investigations we may ask you to come to the designated specialist centre for your type of cancer.
You may be treated as an inpatient (staying overnight) on either Ward 21 at Queen Elizabeth Hospital or Laurel Ward at University Hospital Lewisham.
If you receive your treatment as an outpatient, known as a day case treatment, this will take place at one of our Chemotherapy Day Units.
- Chemotherapy Day Units at Queen Elizabeth Hospital
- Suite 8 at University Hospital Lewisham
The Chemotherapy Day Units provide a wide variety of chemotherapy treatments and supportive therapies (blood transfusions/venesections) which are carried out by the chemotherapy nurses. The chemotherapy nurses also run a peripherally inserted central catheter (PICC line) service for patients requiring a PICC line prior to commencing chemotherapy.
Our Chemotherapy Day Units offer a welcoming environment and before starting any treatment you will be given an appointment called a pre-chemotherapy assessment. This gives you a chance to come to the unit and meet the chemotherapy nurses and administration team who will be caring for you. The chemotherapy nurses will explain what type of treatment you will be having and answer any questions you may have.
How chemotherapy treatment is given
How your chemotherapy is administered is dependent on the type of cancer and treatment plan you have. It is absorbed into the blood stream, and carried around the body to reach the cancer cells
The most common method of administering chemotherapy is by injecting it into a vein, intravenously (IV). Chemotherapy can also be administered by mouth (orally) in tablet form, by injection into a muscle, intramuscularly, (IM) or under the skin (subcutaneously). In certain cases chemotherapy may be injected into the fluid surrounding the spinal cord (intrathecally).
Side effects
We have a range of information available on the side effects of cancer treatment.