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Paschim Vihar, New Delhi care@kpcirc.org

Systemic therapy

Tumour treating fields

Low-intensity alternating electric fields delivered through scalp or torso arrays.

Referral & opinion only

What it is

Arrays worn on the skin deliver alternating electric fields intended to disrupt cell division. The device is worn for most of the day, continuously, for months.

The burden is unusual: it is not a side-effect burden so much as a life burden, wearing arrays, shaving the scalp, carrying a battery, and being visibly under treatment all day.

When it is used

  • In defined settings, principally certain brain tumours
  • Usually alongside systemic treatment
  • Where the wearing burden is realistically acceptable to the patient
Illustration
Worn most of the day, for months. The burden is a life burden, not a side-effect burden.

How the decision is made

  • Whether the required daily wearing time is achievable in your actual life. Reduced usage reduces whatever benefit there is.
  • Cost, which is ongoing rather than one-off.
  • Scalp care and the practical realities, discussed before you commit rather than after.
Where it happens

Device supplied and supported by the manufacturer's programme; worn at home.

Who does what

What we handle, and what happens elsewhere

KPCIRC handles

  • Candidacy discussion at the board
  • An honest conversation about the daily burden
  • Skin and scalp care planning
  • Ongoing cost review, this is a recurring expense
  • Caregiver support

Performed and billed elsewhere

  • The device, arrays and technical support
  • All device costs
Dose, schedule and counts checked before every cycle.
Safety, read this part
  • Scalp irritation under the arrays is common and manageable, report it early rather than reducing wearing time on your own.

Questions to ask your own doctor

Take these with you. They work whether or not you are treated here.

  • How many hours a day, and for how long?
  • What is the monthly cost, indefinitely?
  • What happens to the benefit if I wear it less?
  • What does daily life actually look like on this?

Where this is used

Cancers this commonly forms part of

Not sure this is the right option for you?

That is exactly what a second opinion is for. Bring what you have, we will tell you what is missing and what the alternatives actually are, in writing.