Is Oncology a Good Career Choice?
When medical students ask me “is oncology a good career choice?”, my answer is always an emphatic yes. For me, becoming an oncologist wasn’t just a career decision—it was a calling. I consider being an oncologist a vocation, not merely a job. I’m driven by a simple principle: to treat each person exactly as I would want to be treated, or how I’d want my family members to be treated.
Many doctors struggle with how to decide what medical career to go into. UK medical training offers numerous specialties, each with distinct challenges and rewards. In oncology, I found a perfect balance of scientific complexity, technical skill, and profound human connection.
How to Decide What Medical Career to Go Into: UK Perspective
For those wondering how to decide what medical career to go into, UK training provides many paths. Several factors helped me recognise that oncology was the right specialty for me.
First, I wanted intellectual engagement from a specialty that would challenge me scientifically throughout my career. Second, the precision of radiotherapy planning appealed to my detail-oriented nature. Additionally, I valued building long-term relationships with patients, which oncology offers abundantly.
Moreover, I found meaning in both curative work and improving quality of life for those we cannot cure. Finally, oncology involves collaboration with various specialists, an aspect I find energising and rewarding.
Is oncology a good career choice? For me, it’s perfect. The field combines remarkable diversity—from technical radiotherapy planning to nuanced conversations about treatment goals with patients and families.
The Gift of Cure
One of the most rewarding aspects of an oncology career is offering hope to people who’ve just received the earth-shattering news of a cancer diagnosis. Many of my patients achieve a cure. There’s nothing quite like discharging someone five years after their treatment with a clean bill of health. This creates a sense of fulfilment that few other medical specialties can match.
The Gift of Comfort
At the other end of the spectrum, as a clinical oncologist, I help people have a better death than they might otherwise experience. This isn’t something to shy away from—death comes to us all. When I can help someone have a more peaceful, comfortable, and settled death with fewer symptoms from their cancer, I consider that a tremendous gift. Giving patients back quality of life for whatever time they have by reducing their symptoms is incredibly meaningful work.
Radiation Oncology Career: Combining Science and Compassion
Is radiation oncology a good career? Absolutely. As a clinical oncologist specialising in radiotherapy and precision drug treatments, I get to combine two fascinating aspects:
- The Science: A radiation oncology career path lets me explore the fascinating science of cancer biology and the physics of radiation treatment. This intellectual stimulation keeps the work fresh and engaging.
- The Human Connection: Beyond the science, this career allows me to meet people at their most vulnerable, help them navigate their options, and find the fastest route to the care they need. I help patients clarify what they want from treatment and assemble the best team and most appropriate approaches to achieve their goals.
Careers in Oncology: The Complete Package
Oncology careers offer everything you might want from medicine. The field combines cutting-edge science with meaningful human connections. You’ll have opportunities to make profound differences in people’s lives while facing intellectual challenges and continuous learning. Additionally, you’ll work in team-based approaches to complex problems.
For anyone considering careers in radiotherapy and oncology, my advice remains simple: don’t hesitate. Jump in wholeheartedly. A clinical oncology career for UK practitioners offers tremendous professional satisfaction alongside opportunities to help people during their greatest times of need.
Building Your Career in Oncology
If you feel drawn to this field, several pathways await exploration. Clinical oncology focuses on both systemic treatments and radiotherapy. Alternatively, radiation oncology specialises in radiotherapy planning and delivery. Some choose medical oncology, focusing on drug treatments, while others pursue academic oncology, combining research with clinical work.
My clinical oncology career has proven exceptionally rewarding. Each day brings new challenges yet also offers new opportunities to make meaningful differences in patients’ lives.
Is Oncology Right for You?
When asking “is oncology a good career?”, consider whether certain aspects of the field resonate with you. Do you find cancer science fascinating? Can you communicate complex information compassionately? Are you comfortable discussing mortality? Do you value making profound differences in patients’ lives? Can you maintain emotional resilience while connecting genuinely with patients?
If these questions speak to your values, oncology might become your calling too.
The Future of Oncology Careers
The future looks promising for those considering oncology careers. Advances in precision oncology, immunotherapy, and radiation techniques are transforming cancer treatment possibilities. Consequently, this makes now an exciting time to enter the field.
Whether you’re considering radiation oncology or medical oncology, you’ll find immense opportunities to make differences. Few medical specialties offer the same combination of scientific innovation, human connection, and meaningful impact.
Conclusion: Is Oncology a Good Career Choice?
Is oncology a good career choice? Based on my experience, the answer is unequivocally yes. Few medical specialties offer the same blend of scientific challenge, technical skill, and profound human connection.
When considering how to decide what medical career to go into, UK doctors should reflect on what truly motivates them. For me, oncology provided the perfect combination of intellectual stimulation and meaningful human connection.
A career in oncology gives you the rare privilege of helping people through their darkest hours while also celebrating remarkable victories. Moreover, the rewards—measured not in financial terms but in lives touched and suffering eased—extend beyond measure.
If you’re considering this field, I encourage further exploration. Talk with practicing oncologists, observe in clinics, and discover if this vocation calls to you as it did to me. It might become the most rewarding professional decision you ever make.
What Is Stage 4 Cancer?
What is stage 4 cancer? It means the cancer has spread from its original site to distant parts of the body. This spread, known as metastasis, defines cancer as being “stage 4” or “metastatic.” Cancer cells break away from the primary tumour. They travel through the bloodstream or lymphatic system. Then they form new tumours in other organs or tissues. This represents the most advanced stage of cancer.
What does stage 4 cancer mean for your treatment journey? A stage 4 cancer diagnosis is serious. But understanding your options and having the right support makes a difference. It can improve both your quality of life and survival time.
Contact Me for Expert Guidance
Is Stage 4 Cancer Terminal?
Is stage 4 cancer terminal? This is one of the most common questions people search online. It reflects the fear and uncertainty that comes with such a diagnosis. Stage 4 cancer is serious. In many cases it may not be curable in the traditional sense. But modern treatments can often extend life significantly. They can also maintain good quality of life.
Don’t rely on internet searches for answers to profound questions. I strongly encourage you to speak with your healthcare team. As a specialist with over 23 years of experience, I can tell you this. Doctors and specialist nurses have heard these questions many times before. They should be ready to provide you with personalised information.
Can You Survive Stage 4 Cancer?
Can you survive stage 4 cancer? This is a complex question that depends on many factors. These include the type of cancer, your overall health, and available treatment options. Stage 4 cancer means the cancer has spread to distant parts of the body. Survival rates vary widely between different cancers.
For most solid tumours that have spread, curative treatment may not be possible. But this doesn’t mean effective treatments aren’t available. We can extend your life and maintain its quality with the right approach.
Stage 4 Cancer Life Expectancy With Treatment
Stage 4 cancer life expectancy with treatment has improved significantly in recent years. Modern approaches often extend survival beyond historical expectations. This is particularly true for certain types. These include stage 4 lung cancer, stage 4 breast cancer, and stage 4 bowel cancer.
A few decades ago, stage 4 cancer survival rates were generally poor. Today, we have advanced treatments. These include immunotherapy, targeted therapy, and precision radiotherapy. Many patients now live longer and better lives after a stage 4 diagnosis.
Statistics reflect populations, not individuals. Your personal journey may differ from the average. I’ve seen many patients defy the odds with the right treatment approach.
Stage 4 Cancer Treatment Options
When facing stage 4 cancer, comprehensive treatment typically involves multiple approaches:
Systemic Therapies
The backbone of stage 4 cancer treatment is typically systemic therapy. These treatments work throughout your entire body. They target cancer cells wherever they may be:
- Immunotherapy – Enhances your immune system’s ability to recognise and attack cancer cells
- Targeted Therapy – Precision medicines that target specific genetic changes in cancer cells
- Chemotherapy – Traditional treatments that kill rapidly dividing cells
These systemic treatments form the foundation of care for many cancers. This includes stage 4 lung cancer, stage 4 breast cancer, stage 4 bowel cancer, and stage 4 prostate cancer.
Local Treatments for Stage 4 Cancer
Local therapies can be crucial alongside systemic treatments. They control symptoms and sometimes eliminate visible metastases:
- Stereotactic Radiotherapy – Highly precise, high-dose radiation that can eradicate metastatic sites
- Surgery – In select cases, surgical removal of metastases may help
- Conventional Radiotherapy – Effectively manages symptoms like pain from bone metastases
Can Immunotherapy Cure Stage 4 Cancer?
Can immunotherapy cure stage 4 cancer? Complete cures remain relatively rare. Yet immunotherapy has revolutionised the treatment landscape for many cancers. This includes stage 4 lung cancer, stage 4 melanoma skin cancer, and others. Some patients experience remarkable responses. Some achieve long-term disease control that may extend for years or decades.
Combined with other treatments like stereotactic radiotherapy, immunotherapy can be even more effective. This potentially improves stage 4 cancer survival rates.
Setting Priorities for Stage 4 Cancer Care
If you have stage 4 cancer, establishing your priorities for treatment is essential. Consider these principles:
- Quality of Life – Don’t accept treatments that make you feel worse than your cancer does
- Access to Advanced Options – Ensure you can access the best treatments for your specific cancer type
- Family Involvement – Cancer affects not just you but those who love you; include them in your journey
- Open Communication – Discuss your wishes, fears, and goals openly with your healthcare team
When Should You Talk About End-of-Life Care?
As a society, we often avoid discussing death. But in my experience, talking about end-of-life wishes early can enhance your quality of life. Have these conversations while you’re still feeling relatively well. This allows you to express your preferences. You can put your mind at rest. Then you can focus on living well.
Stage 4 cancer prognosis varies widely by cancer type. Some, like stage 4 pancreatic cancer, have more challenging outlooks. Others, such as certain forms of stage 4 prostate cancer or stage 4 breast cancer, may have more favourable outcomes.
Having these conversations isn’t “giving up.” It’s taking control of your care. It ensures your wishes are respected.
Finding the Right Specialist for Stage 4 Cancer
When faced with stage 4 cancer, having the right specialist makes a difference. You need a doctor who:
- Can recommend appropriate systemic treatments
- Has access to advanced local treatments like stereotactic radiotherapy
- Knows when to revisit treatment options if you respond well initially
- Communicates clearly about what success looks like
- Respects your priorities and quality of life concerns
I have extensive experience treating advanced cancers. This includes stage 4 lung cancer, stage 4 skin cancer, and stage 4 melanoma. I understand the importance of personalised care. This addresses both extending life and maintaining its quality.
Stage 4 Cancer: A Team Approach
Treating stage 4 cancer is truly a team effort. This isn’t just among medical professionals. It includes your family as well. While it’s your body experiencing the cancer, the impact extends to those who care about you.
Include your loved ones in your treatment decisions. Allow them to support you. This makes a tremendous difference in your journey. They can help advocate for you. They provide emotional support. They assist with practical matters. They ensure your wishes are respected.
Beyond Statistics: Living with Stage 4 Cancer
Stage 4 cancer survival rates and life expectancy reflect populations, not individuals. I’ve seen patients with advanced cancers significantly outlive initial prognoses. This includes those with stage 4 lung cancer and stage 4 bowel cancer.
Modern treatments continue to improve outcomes for stage 4 cancer. What had a dire prognosis just a few years ago might now have multiple treatment options.
Taking the Next Step
Have you or a loved one been diagnosed with stage 4 cancer? Are you searching for answers to questions? Examples include “how long can you live with stage 4 cancer” or “is stage 4 cancer curable.” I encourage you to seek expert guidance. Don’t rely solely on internet searches.
As a specialist in treating advanced cancers, I can provide personalised information. I can explain treatment options that might be available to you. I can help you navigate this challenging journey with clarity and support.
Together, we can develop a treatment approach with dual focus. We’ll aim to extend your life. We’ll also give life to the time you have. We’ll address your symptoms. We’ll optimise your quality of life. We’ll help you achieve what matters most to you.
Understanding the Wait for Your Radiotherapy Treatment
If you’ve been diagnosed with lung cancer and your doctor has recommended radiotherapy, you might wonder: “Why isn’t my radiotherapy starting right away?” This is a common and understandable concern, but there’s a good reason for this timeline.
The short answer: Your radiotherapy treatment plan is being carefully personalised just for you, which takes some time to develop and test. This personalisation significantly improves your treatment outcomes.
The Personalisation Process for Lung Cancer Radiotherapy
Radiotherapy for lung cancer has advanced tremendously in recent years. Modern techniques are more effective than ever at targeting tumours while protecting healthy tissue. Here’s what happens during the planning period:
1. Advanced Imaging
Your treatment begins with specialised 4D CT scans that capture how your tumour moves as you breathe. Unlike standard imaging, these scans track tumour motion throughout your breathing cycle, ensuring your radiation beam will always hit its target during lung cancer radiotherapy.
2. Customised Treatment Planning
Your oncologist works with medical physicists to create your personalised radiotherapy plan. They:
- Map the exact location and dimensions of your tumour
- Calculate precise radiation doses to maximise impact on cancer cells
- Determine optimal beam angles to avoid critical organs
- Design protective measures for your heart, healthy lung tissue, and other vital structures
This meticulous planning process may involve several rounds of adjustments to achieve the perfect balance of effectiveness and safety for your specific case.
3. Quality Assurance Testing
Before your first treatment session, your plan undergoes rigorous testing:
- “Dummy runs” without you present verify the calculated dose matches what’s actually delivered
- Mechanical tests ensure equipment functions exactly as planned
- Safety systems are verified to provide multiple layers of protection during the lung cancer radiotherapy.
Will Delays in Radiotherapy Affect My Chance of Being Cured?
This is an important question. The planning period before starting radiotherapy for lung cancer is not considered a harmful delay. In fact, this preparation time significantly improves your chances of successful treatment by ensuring:
- Maximum tumour coverage – Every cancer cell receives the intended radiation dose
- Minimal side effects – Healthy tissues receive as little radiation as possible
- Treatment precision – Even moving tumours are accurately targeted for lung cancer radiotherapy.
However, once your treatment begins, it’s best to maintain your schedule without interruptions. Gaps during your treatment course can potentially reduce effectiveness.
Radiotherapy for Lung Cancer: Treatment During Planning
If you’re also receiving chemotherapy, this can often begin during your radiotherapy planning phase. Your treatment team will coordinate these therapies for optimal results.
The Latest Advances in Lung Cancer Radiotherapy
It’s important to know that radiotherapy for lung cancer has improved dramatically in recent years. Treatment options continue to evolve, offering better outcomes for patients. The time invested in planning your treatment directly contributes to these improved results.
What to Remember About Your Radiotherapy Timeline
- The planning period is an essential part of your treatment
- Radiotherapy for lung cancer requires precision and personalisation
- This preparation directly improves your treatment outcomes
- Your care team is working diligently during this time
- Once treatment begins, maintaining your schedule is important
If you have questions about your specific radiotherapy timeline, please speak with your team. We understand this can be a worrying time, and we’re here to support you through every step of your treatment journey.
Expert-Led Training on Skin Cancer Radiotherapy Options
Are you a healthcare professional looking to expand your knowledge of basal cell skin cancer treatment and squamous cell skin cancer treatment options? This comprehensive educational resource features Dr. James Wilson, a leading oncology skin cancer specialist, sharing his expertise on non-surgical approaches to skin cancer management.
Why Consider Radiotherapy for Skin Cancer Treatment?
Radiotherapy offers an effective alternative to surgery for many patients with non-melanoma skin cancers. This educational video provides detailed insights into:
- Characterising risk in basal cell carcinoma and squamous cell carcinoma
- When to recommend skin cancer radiotherapy over surgical options
- Different types of radiotherapy techniques and their applications
- Treatment scheduling and patient care protocols
- Managing side effects and follow-up care
Find the Right Skin Cancer Treatment for Your Patients
For GPs, dermatologists, dermatological surgeons, plastic surgeons, and other healthcare professionals who encounter patients with skin cancer, understanding all available treatment modalities is essential for providing optimal care.
Key Topics Covered in This Educational Resource
Basal Cell Skin Cancer Treatment Options
Learn how to spot risk factors for basal cell carcinoma and when radiotherapy for basal cell skin cancer works best. In this part, Dr. Wilson clearly explains:
- How to group different BCC types by risk
- How to set margins for nodular vs infiltrative BCCs
- Radiotherapy methods that work well for facial BCCs
- Real patient cases showing good cosmetic results
Squamous Cell Skin Cancer Treatment Approaches
Next, learn about the newest ways to use radiotherapy for squamous cell skin cancer treatment, including:
- High-risk features that need special care
- When to use radiotherapy as first treatment vs after surgery
- How to treat patients with weak immune systems
- How to follow up with patients based on their risk level
Advanced Radiotherapy Planning and Techniques
Also, learn in-depth about:
- X-ray radiotherapy
- When and how to use electron beam therapy
- How to use 3D-printed custom bolus for tricky body areas
- New methods like Rhenium-SCT topical brachytherapy
Real Patient Cases and Treatment Results
This resource includes detailed patient cases showing:
- Before and after pictures of treatments
- How to manage side effects
- Long-term cosmetic results
- What patients say about their treatment
Who Should Watch This Educational Resource?
This training is very useful for:
- GPs who treat skin cancer patients
- Skin doctors looking for non-surgical options
- Surgeons thinking about using multiple treatment types to improve treatment results
- Cancer specialists who focus on skin cancer
- Health workers who treat older or medically complex patients
Making Treatment Decisions Based on Evidence
Also, learn how to weigh these three key factors when choosing skin cancer treatment:
- Chance of cure: Understanding success rates for different treatments
- How it will look: Comparing radiotherapy vs surgical results for different body areas
- Patient comfort: Thinking about treatment length, visits needed, and healing time
Access This Essential Educational Resource Now
Watch our video to boost your knowledge of basal cell skin cancer treatment and squamous cell skin cancer treatment options. You’ll feel more confident discussing all options with your patients and making smart suggestions based on each person’s needs.
Keep Learning About Skin Cancer Management
Stay up-to-date on skin cancer care by knowing when skin cancer radiotherapy works better than surgery, especially for:
- Patients with weak immune systems who need extra treatment
- Older patients with other health issues
- Patients taking blood thinners
- Face lesions that would need complex rebuilding
- Hard-to-treat spots (eyelids, nose, ears)
This educational resource is provided for healthcare professionals to enhance clinical knowledge and improve patient care outcomes.
Jon’s Journey with Melanoma Treatment
Finding the right treatment for melanoma skin cancer can be challenging. Jon’s personal story shows how modern treatments like immunotherapy have changed lives. After his melanoma returned in a lymph node, Jon received nivolumab (Opdivo) for one year. His experience highlights the real impact of current melanoma treatment options.
Jon faced the typical anxieties that come with cancer diagnosis—worry during biopsy waiting times, stress around staging scans, and having to cancel his marathon plans. Following surgery to remove the melanoma in his groin lymph node, Jon began immunotherapy treatment.
What makes Jon’s story so compelling is how he managed to protect his children from disruption while undergoing treatment for melanoma skin cancer. He experienced no side effects from nivolumab and believes he could have worked throughout his treatment period.
Living Through Melanoma: A Patient’s Perspective
Jon shares powerful strategies for coping with cancer-related anxiety, including what many patients call “scanxiety”—the overwhelming worry that builds around scan result appointments. Throughout his treatment for melanoma skin cancer, Jon kept setting personal goals, giving himself milestones to work towards.
Today, Jon has returned to a full life. He works full-time and has even completed marathons to raise money for Macmillan Cancer Support. His journey from diagnosis through treatment to recovery offers hope to others facing similar challenges.
Dr James Wilson, cancer specialist, provides expert commentary alongside Jon’s story. Dr Wilson explains how immunotherapy side effects differ completely from traditional chemotherapy and addresses common misconceptions about treatment. He emphasises that outcomes for people with metastatic melanoma are better than ever, with immunotherapy revolutionising treatment for melanoma skin cancer.
Understanding Melanoma Skin Cancer Treatment
Melanoma skin cancer responds well to treatment, especially when caught early. Your treatment plan will depend on:
- Where the cancer is located
- If it has spread to other parts of your body
- Your general health condition
Surgery remains the main treatment for melanoma skin cancer, with radiotherapy, targeted medicines and chemotherapy used in certain cases. Your specialist care team will create a personalised treatment plan and discuss all options with you.
Surgery for Melanoma
Surgery is the primary treatment for melanoma skin cancer, particularly in early stages. Surgical options include:
- Removing the melanoma and surrounding healthy skin to prevent recurrence
- Removing swollen lymph glands if cancer has spread to them
- Surgery for melanoma that has spread to other body areas
For visible areas like the face, a plastic surgeon may perform the procedure to achieve the best cosmetic result. Larger removals may require skin grafts from another part of your body.
Radiation treatment for melanoma skin cancer
Doctors sometimes use radiotherapy to control melanoma that has spread and reduce symptoms. Treatment may involve single or multiple sessions, depending on the affected area and whether you’re receiving other treatments for melanoma skin cancer.
Stereotactic Radiotherapy for Oligometastatic Melanoma
When melanoma spreads from its original site, it can form metastases in various parts of the body. Common sites include the lungs, liver, brain, bones, lymph nodes, skin, and adrenal glands. Oligometastatic disease refers to a limited number of metastases (typically fewer than five).
Stereotactic radiotherapy—also known as SABR (Stereotactic Ablative Radiotherapy) or SBRT (Stereotactic Body Radiation Therapy)—offers a precise treatment option for melanoma that has spread. This advanced form of treatment for melanoma skin cancer delivers high-dose radiation with pinpoint accuracy to metastatic sites.
The treatment works by targeting each metastasis with intense, focused radiation beams from multiple angles. This precision helps protect surrounding healthy tissue while delivering a powerful dose to eradicate the melanoma metastases.
SABR/SBRT for melanoma has shown impressive results, with the potential to completely eliminate individual metastases. This treatment can be particularly valuable for patients with limited metastatic disease or when surgery isn’t possible. It often requires fewer treatment sessions than conventional radiotherapy.
Immunotherapy: A Revolutionary Approach
Immunotherapy represents one of the most promising advances in treatment for melanoma skin cancer. These treatments help your immune system recognise and attack cancer cells more effectively.
Your immune system naturally works to protect your body from infections and abnormal cells, including cancer. However, in melanoma patients, the immune system often sees the cancer but doesn’t recognise it as dangerous. Immunotherapy helps correct this problem.
Types of Immunotherapy treatment for melanoma skin cancer
Different immunotherapy approaches work in different ways:
Checkpoint Inhibitors: These drugs, including nivolumab (Opdivo), pembrolizumab (Keytruda), and ipilimumab (Yervoy), activate white blood cells to attack cancer cells. They’re given as intravenous infusions at a day unit. Jon received nivolumab for one year following his surgery.
Virus Therapy: T-VEC (Imlygic) uses a specially designed virus injected directly into melanoma lesions in the skin or lymph nodes. The virus infects cancer cells and helps your immune system find and destroy them.
When Is Immunotherapy Used?
You may receive immunotherapy for melanoma skin cancer:
- Before surgery (neoadjuvant treatment) to improve the likelihood of treatment success
- After surgery to reduce the risk of cancer returning (adjuvant treatment)
- To slow growth and extend life when melanoma cannot be surgically removed or has spread
Side Effects of Immunotherapy
Common side effects of immunotherapy may include:
- Fatigue
- Skin changes or rashes
- Diarrhoea
- Shortness of breath
While other side effects can occur, most are manageable with proper medical support. These may affect the gut, liver, hormone glands, or other organs. The good news is that your healthcare team is experienced in managing these effects, and many patients tolerate treatment well. Remember that Jon experienced no side effects, and many patients have a similar positive experience.
Your doctor will carefully monitor you throughout treatment and provide clear guidance on what to watch for. Always report any new or unusual symptoms promptly. With proper care, the benefits of immunotherapy for melanoma skin cancer often far outweigh the risks.
Targeted Medicines
Targeted medicines aim to stop cancer growth by targeting specific genetic changes in melanoma cells. Doctors usually test a sample of your melanoma to determine if targeted therapy might work for you.
Chemotherapy
While less commonly used than other options, chemotherapy still plays a role in treating advanced melanoma skin cancer. It’s typically considered when targeted medicines and immunotherapy aren’t suitable.
Living with Advanced Melanoma
If you’ve been diagnosed with advanced melanoma that cannot be cured, treatment focuses on limiting the cancer, controlling symptoms, and helping you live longer. Your doctor will work with you to manage symptoms and set the priorities for your treatment that most matter to you.
Finding Support
Throughout your treatment for melanoma skin cancer, regular check-ups and tests will monitor your progress. Never hesitate to contact your healthcare team about any symptoms or concerns between appointments.
As Jon’s story demonstrates, many people continue to lead full lives during and after treatment for melanoma skin cancer. Setting goals, finding support, and working closely with your healthcare team can help you navigate this challenging journey.
Cancer treatment has evolved significantly over the years, with advancements in technology offering new hope for patients. One such breakthrough is Stereotactic Ablative Radiotherapy (SABR), also known as Stereotactic Body Radiation Therapy (SBRT). This cutting-edge, non-invasive therapy delivers high doses of radiation with pinpoint precision, targeting tumours while sparing healthy tissue. We specialise in providing advanced SABR treatments to patients in London and those able to travel to London to access the best treatment for them.
What is Stereotactic Radiotherapy?
Stereotactic radiotherapy is a highly precise form of radiation therapy that uses advanced imaging techniques, such as CT scans and MRI, to locate tumours with sub-millimetre accuracy. This allows for the delivery of high-dose radiation beams from multiple angles, concentrating the treatment on the tumour and minimising exposure to surrounding healthy tissues. This precision reduces side effects and improves treatment outcomes, making SABR a preferred option for many patients.
Applications of stereotactic radiotherapy
Brain Tumours
Stereotactic Radiosurgery (SRS) is a non-invasive treatment for brain metastases, which are secondary brain tumours originating from primary cancers like lung, breast, or melanoma. SRS delivers focused radiation to the tumour, reducing cognitive side effects often associated with whole-brain radiotherapy (WBRT). This approach offers excellent local control and requires fewer treatment sessions, often just one.
Spinal Tumours
Spinal metastases can cause severe pain and neurological issues. SABR provides a precise, minimally invasive option for treating spinal lesions. By delivering high-dose radiation directly to the tumour, SABR spares the spinal cord and healthy vertebrae, reducing the risk of complications and offering significant pain relief.
Lung Cancer
For patients with early-stage lung cancer or metastatic lung disease, SABR offers a non-invasive alternative to surgery. By targeting tumours with high-dose radiation, SABR achieves high local control rates, often exceeding 90%. This treatment is particularly beneficial for patients who are not candidates for surgery due to underlying health conditions.
Liver Cancer
SABR is an effective treatment for primary liver cancer and metastatic liver disease. Using advanced imaging and motion management techniques, SABR targets tumours while sparing healthy liver tissue. This precision reduces the risk of liver impairment and offers high local control rates, making it a viable option for patients who cannot undergo surgery.
Oligometastatic Disease
Oligometastatic disease, characterised by a small number of metastatic lesions, can be effectively managed with SABR. This approach targets specific metastases, delaying the need for systemic therapies and extending survival. SABR’s precision helps control cancer progression while preserving the patient’s quality of life.
The Benefits of Stereotactic Radiotherapy
Precision and Accuracy
SABR’s ability to target tumours with extreme accuracy minimises the risk of damaging nearby healthy tissues. This precision results in significantly fewer side effects compared to traditional radiation therapy.
Shorter Treatment Time
SABR treatments are completed in as few as 1 to 8 sessions, allowing patients to return to their normal routines more quickly. This shorter treatment course is a substantial improvement over the 30+ sessions often required with conventional radiotherapy.
Non-Invasive
As a non-surgical treatment, SABR is painless and requires no recovery time. This is particularly important for patients who may not be fit for surgery or who want to avoid the risks associated with invasive procedures.
High Efficacy
Studies have shown that SABR is highly effective in controlling tumours, often matching or even surpassing the outcomes of surgery in certain cancers. For patients with early-stage lung, prostate, or liver cancer, SABR offers high local control rates.
Minimal Side Effects
SABR’s precision means that it delivers less radiation to healthy tissue, resulting in fewer and less severe side effects. Patients typically report only mild fatigue or temporary discomfort, allowing them to maintain a higher quality of life during and after treatment.
Using the best technology to access the best outcomes
I offer patients a range of state-of-the-art radiotherapy options. We’ll discuss which treatment type is going to get the best results for you.
Your journey with Dr James Wilson
We are dedicated to providing personalised, patient-centred care. Our four-step treatment process ensures you receive the highest level of support and expertise:
- Initial Enquiry: Get in touch and we will contact you to discuss your eligibility and answer any questions.
- Personalised Treatment Plan: Have a consultation with our Dr Wilson either in person or via video consultatoin to develop a tailored treatment plan.
- Treatment Sessions: Receive precise and comfortable treatment using state-of-the-art stereotactic radiotherapy technology. Our staff are there to guide and support you every step of the way
- Post-Treatment Care: Benefit from ongoing support and follow-up care to ensure your recovery and address any concerns.
If you’re exploring treatment options for your cancer, contact us to learn more about how we can help you regain control of your health with personalised, prompt, precision care.
Next steps
Call or email us and a member of my team will get back to you within 1 business day to start the conversation that will access the treatment you need quickly.
Lung cancer has long been one of the most challenging cancers to treat, but thanks to medical advancements, success stories are becoming increasingly common.
I have witnessed firsthand how successful cancer research has been over the years. It has allowed many advancements and innovations to treatment options, and more importantly, it’s transformed patient outcomes. As an oncologist, there is nothing more satisfying than giving good news to a patient. Telling them their cancer is cured, or under control, is one of the greatest privileges I have.
Innovative treatments such as stereotactic radiotherapy, immunotherapy, and targeted therapies are vastly transforming patient outcomes.
So, what does successful treatment for lung cancer look like? As you can probably imagine, success is very different patient-to-patient. Where one patient’s idea of success is a cure, another person’s success is treatment that makes them feel more comfortable, and stops their cancer from growing.
Over the years, I’m really proud of the success stories I’ve seen in my clinic.
Stereotactic radiotherapy: A non-invasive alternative for early-stage lung cancer
A particularly inspiring case of mine, is that of an 84-year old man who had been diagnosed with early-stage lung cancer in the right lower lobe. Due to underlying heart conditions, surgery posed too great a risk, making him an ideal candidate for stereotactic ablative radiotherapy (SABR).
In the below photo, I’ve circled where the cancer was present in the patient. This was a tumour that, if left for a long period of time, could have caused significant damage to the patient’s lungs. Thankfully, early detection and a speedy treatment plan gave him a positive outcome.
Treatment Plan: Five short treatment sessions on alternate days
Side Effects: Mild fatigue but otherwise well tolerated
Outcome: One year after treatment, imaging showed no evidence of cancer, only fibrosis and scarring.
In the image below, you can see that the area surrounding the tumour has changed drastically.
To the untrained eye, the post-treatment scan might appear concerning, but in reality, it demonstrates the power of radiotherapy. The remaining lighter matter in the x-ray is scarring and the area is cancer-free. The patient avoided invasive surgery while still achieving a high likelihood of cure. He has gone on to live a much healthier life.
Neoadjuvant chemoimmunotherapy: A new standard for resectable lung cancer
In patients who are fit for surgery, neoadjuvant (pre-surgical) treatment has revolutionised outcomes when used in carefully selected patients. One success story with a patient of mine involved a previously healthy patient with a tumour in the right upper lobe of his lung. This patient received chemoimmunotherapy before surgery, allowing the immune system to better recognise and attack the tumour.
Circled in the below image, you can see this patient’s tumour was significant in size in the right lung (left of the image) and would very much benefit from surgery.
Treatment Plan: Chemotherapy and immunotherapy before surgery
Surgical Outcome: The affected lung lobe was removed
Pathology Results: No remaining cancer, only evidence of white blood cells and fibrosis
This case highlights how neoadjuvant treatment enhances the curability of lung cancer. Rather than relying solely on chemotherapy post-surgery, this approach maximises the immune system’s ability to fight cancer before it spreads.
In the image above, you’ll see the significant difference that surgery and chemotherapy and immunotherapy had in this case. Again, this was concluded as a cure, and the patient now leads a healthy life with checks now and again over the next every five years.
The below image is of the lung tissue after it was removed and looked at under the microscope. As a result of the chemoimmunotherapy, there was no cancer left. The immunotherapy has stopped the cancer hiding from this patient’s immune system (cancer has a tendency to be able to stop the white blood cells doing their job, allowing the cancer to spread).
This particular case is an excellent example of cancer research being used in real-time. Where we used to perform surgery first, and then administer chemotherapy and immunotherapy afterwards, there have been far more success stories where immunotherapy and chemotherapy have been able to prevent the cancer cells from developing pre-surgery as opposed to afterwards.
The journey of a patient with EGFR-mutated non-small cell lung cancer (NSCLC), who developed brain metastases
Lung cancer treatment has seen remarkable advancements, offering new hope to patients with metastatic disease. This case highlights the journey of a patient with EGFR-mutated non-small cell lung cancer (NSCLC), who developed brain metastases but responded exceptionally well to targeted therapy and stereotactic radiosurgery.
The patient, diagnosed with EGFR-mutant NSCLC, initially responded well to treatment. However, disease progression led to the development of brain metastases.
To target the brain metastases, the patient underwent CyberKnife stereotactic radiosurgery, a highly precise radiation technique minimising damage to surrounding brain tissue.
The combination of targeted therapy and CyberKnife led to remarkable disease control. Follow-up scans (seen in the below images) showed significant reduction in intracranial disease burden, with the patient maintaining excellent neurological function and quality of life. He also remained on the first-line treatment for his lung cancer for a long time after this treatment – delaying the time until he needed to have chemotherapy.
Treatment Plan: Prevent further spread of disease with TKI and CyberKnife stereotactic radiosurgery
Outcome: Remarkable disease control
Pathology Results: Significant reduction in intracranial disease burden. This case is a testament to the power of multimodal therapy, providing patients with better outcomes and extended survival.
Metastatic lung cancer: Extending life with better quality
For patients with metastatic lung cancer, the goal is to extend a patient’s life while maintaining comfort and quality. One of the biggest wins in oncology is the ability to control cancer in multiple locations using targeted therapies and stereotactic radiation.
Key benefits include:
- Non-invasive treatments with minimal side effects
- The ability to “zap” cancer when it spreads to new areas
- Prolonged survival, even when cancer is not curable
With emerging options like DATAR testing, which analyses the genetic signature of cancer, we can personalise treatment even further, opening the door to cutting-edge drugs and therapies not yet widely available on the NHS.
So, what does success in lung cancer look like?
For early-stage cancer: Quick, effective treatment before the disease spreads
For metastatic cancer: Prolonged survival with minimal disruption to daily life
For all patients: Maximising time, comfort, and treatment effectiveness
The landscape of lung cancer treatment is changing dramatically. Whether through stereotactic radiotherapy, neoadjuvant therapies, or targeted treatments, we are seeing more patients live longer, fuller lives. While we may not always achieve a cure, we are increasingly able to control cancer, minimise suffering, and offer real hope.
Lung cancer is no longer an immediate death sentence. With the right treatments, patients are living longer, feeling better, and experiencing true success in their cancer journey.
I’m passionate about helping you find the best option for whatever you’re currently facing. For me, putting your cancer journey in my hands is a privilege I don’t take lightly. I aim to offer you the best results possible for yourself and your loved ones and understand the stress you are facing when choosing an oncologist.
If you’d like to chat through your current diagnosis to get an idea what I can offer, then please do get in touch.
Visit my website at https://drjameswilson.co.uk/ or give me a call at +44(0)2079936716
Here’s a link to my video, discussing what success in lung cancer treatment may look like, and the three examples in more detail.
Introduction to Basal Cell Carcinoma
Radiotherapy is a highly effective treatment for basal cell carcinoma (BCC), the most common type of skin cancer worldwide. It develops in the basal cells, which are found in the outer layer of your skin, the epidermis. The main cause is long-term exposure to sunlight. You may be more likely to develop this cancer if you have fair skin, have had bad sunburns, have been exposed to certain chemicals, or have a weakened immune system. It’s important to protect yourself by avoiding too much sun exposure and using proper sun protection.
These skin cancers often look like a small, shiny bump or a patch on your skin. They can be flesh-coloured, pink, or slightly darker than your surrounding skin. Unlike other skin cancers, BCC usually grows slowly and very rarely spreads to other parts of your body. However, if left untreated, it can damage nearby tissues and cause scarring.
Early diagnosis and treatment are very important. Your skin specialist (dermatologist) will usually examine your skin carefully and may take a small sample (biopsy) to confirm if it’s BCC. Finding and treating it early means simpler treatment is often possible. There are two main treatment options: radiotherapy and surgery. Understanding what BCC is and your treatment choices will help you make informed decisions about your care.
Overview of Treatment Options for BCC
If you’ve been diagnosed with basal cell carcinoma (BCC), you have several treatment options. The main ones are surgery, radiotherapy, skin creams, and light therapy. Each has its own benefits and drawbacks, and what’s right for you depends on your particular situation.
Surgery remains the most common treatment for BCC, especially when the cancer is in one spot and easy to reach. The most precise type of surgery is called Mohs surgery, which carefully removes the cancer while saving as much healthy skin as possible. This is particularly useful for cancers on the face. However, surgery might not be suitable for everyone, especially if you have certain health conditions or take particular medications.
Radiotherapy is an effective alternative, particularly if surgery isn’t suitable. It uses high-energy x-rays to target and destroy cancer cells. While it doesn’t involve cutting, it can cause some temporary skin irritation.
Skin creams containing special medicines can help with surface (superficial) BCCs, especially if you prefer a treatment without surgery. These creams are applied directly to your skin.
Light therapy uses special light-sensitive medicine and light to destroy cancer cells. This is usually only used for superficial BCCs and offers a non-surgical option with quick recovery time. Your healthcare team will consider your cancer’s size and location, as well as your overall health, to recommend the best treatment option for you.
Understanding Radiotherapy: How It Works
Radiotherapy is an important treatment option for people with basal cell carcinoma (BCC). It works by using targeted radiation to damage cancer cells, which stops them from growing and causes them to die. The treatment aims to destroy the cancer cells while causing as little harm as possible to surrounding healthy skin.
There are two main types of radiotherapy: external beam radiotherapy and radiotherapy that comes from radioactive material placed close to the skin (also called brachytherapy). External beam radiotherapy directs x-rays from outside your body towards the cancer.
Rhenium-SCT (Rhenium-188 topical therapy) offers several unique advantages for selected BCC patients. This single-visit treatment applies a radioactive paste directly to the skin cancer, with clinical studies showing:
- 97.5% response rates at 12 months
- 95% complete responses
- Superior cosmetic outcomes in 41% of cases
Your treatment will begin with a consultation where your doctor will assess your condition and overall health. You might need some scans to help plan your treatment. Once the plan is ready, you’ll have several treatment sessions, usually over a 1-2 weeks. Each session typically lasts only a few minutes, during which you’ll need to lie still while the radiotherapy machine is precisely positioned. Rhenium-SCT only requires one visit of usually around an hour or two.
Most people cope well with radiotherapy for BCC, though you might experience some side effects like skin irritation or tiredness in the weeks after treatment. It’s important to keep talking with your doctor, as they can help you manage any side effects. Radiotherapy can be particularly helpful for people who can’t have surgery, have recurring BCC, or have high-risk BCC.
(A before and after image of a BCC on the nose that was successfully treated with radiotherapy)
Surgical Treatments for BCC: An Overview
There are different types of surgery available for treating basal cell carcinoma (BCC). One of the most advanced techniques is Mohs surgery, which is a specialised procedure that removes the cancer layer by layer. During this surgery, each layer is checked under a microscope to ensure all cancer cells are removed while saving as much healthy skin as possible. This type of surgery is often recommended for BCCs on the face, neck, and ears, where appearance is particularly important.
Another common option is standard surgery, where the surgeon removes the cancer along with a small margin of healthy skin around it. This method effectively removes BCC and can be done in most areas of the body. While it might not be as precise as Mohs surgery, it’s usually quicker and simpler, and can often be done as an daycase procedure.
After surgery, you might experience some swelling, bruising, or discomfort in the treated area, but this usually improves over time. Sometimes, you might need additional surgery with a plastic or dermatological surgeon to improve the appearance of the treated area. This depends on the size and location of the original surgery.
Your doctor will help you choose the most appropriate type of surgery based on several factors, including where your BCC is located, its size, your general health, and what you prefer. It’s important to discuss these options with your healthcare team to understand which approach might work best for you.
Pros and Cons of Radiotherapy for BCC
Radiotherapy is a common treatment option for basal cell carcinoma (BCC), particularly for people who might not be suitable for surgery. One of the main advantages is that it doesn’t involve any cutting. Unlike surgery, radiotherapy can be given as an outpatient treatment, which means you remain at home with minimal disruption to your daily routine.
Another benefit of radiotherapy is that it works well for certain groups of people, especially those with larger skin cancers or those who can’t have surgery due to age or other health conditions. In these cases, radiotherapy can effectively target the cancer while protecting the surrounding healthy tissue. Many people also find they have fewer immediate side effects compared to surgery.
However, radiotherapy does have some drawbacks. While your radiotherapy is designed to minimise damage to healthy areas, you might experience side effects such as skin irritation and tiredness. In very rare cases, there’s a small risk of developing another cancer in the treated area many years later. The risk of this is small and occurs many years after treatment (risk of second cancer 3:1000 at 10 years and 5:1000 at 15 years after radiotherapy).
Also, radiotherapy treatment usually requires more hospital visits than surgery, as you’ll need several sessions over a period of 1-2 weeks. This longer treatment time can be inconvenient for some people.
Pros and Cons of Surgery for BCC
When considering treatment for basal cell carcinoma (BCC), surgery is one of the most traditional approaches. The main advantage of surgery is that it completely removes the cancer cells. Surgical procedures, such as standard excision or Mohs surgery, focus on making sure all the cancer is removed, which means there’s less chance of it coming back.
Surgery often provides immediate results, which can be reassuring for many people. You can usually see straight away that the cancer has been removed, which can reduce worry about ongoing treatment. The success rate of surgery is very good, and your doctor can check the removed tissue to confirm that all the cancer cells have been taken out.
However, surgery does have some disadvantages. One main concern is scarring. Depending on where the surgery was done and how much skin needed to be removed, you might have a visible scar. Sometimes, you might need further cosmetic procedures to improve how the scar looks. Also, like any surgery, there are risks such as infection or slow healing and swelling, particularly if you’re older or have other health conditions.
Recovery time is another thing to consider. Unlike some non-surgical treatments, you’ll need time to heal after surgery, during which you might need to limit your activities. While many people have successful outcomes with surgery, it’s important to carefully consider these pros and cons. Your healthcare team will help you decide if surgery is the right choice for you.
Factors Influencing Treatment Choice
The decision between radiotherapy and surgery for treating basal cell skin cancer (BCC) depends on many factors that are specific to you. First, the characteristics of your skin cancer play a big role. The size, depth, and location of the cancer can help determine whether surgery or radiotherapy would work better. For example, smaller cancers in easy-to-reach areas might be better suited for surgery, while larger or more complicated ones might respond better to radiotherapy. Radiotherapy is particularly good for BCCs around the eyes, nose and lips.
Age is another important factor to consider. Older people might have other health conditions that make surgery more risky, making radiotherapy a better option. Younger people might prefer surgery to avoid the longer treatment schedule of radiotherapy. Your overall health is also important; if you have a weakened immune system or other health problems, this might affect which treatment is safer for you. Your doctor will carefully consider your medical history and current health when recommending treatment.
Your personal preferences are also very important in making this decision. Some people might feel anxious about having surgery, while others might prefer the quicker results that surgery can provide. Your healthcare team will discuss all available options with you, explaining the potential benefits and drawbacks of each treatment method. By carefully considering these factors, you can make an informed choice that suits your needs, health condition, and lifestyle.
Success Rates of Surgery and Radiotherapy for BCC
When choosing between treatments for basal cell skin cancer (BCC), it’s helpful to understand how well each treatment works for different people. Medical studies give us valuable information about success rates, how often the cancer comes back, and how satisfied people are with their treatment.
Research looking at people treated with Mohs surgery, a precise type of surgical treatment for BCC, shows very good results. This method successfully removes the cancer in about 98 out of 100 cases, with the cancer coming back in fewer than 5 out of 100 cases within five years. Many people were happy with this treatment because they could see results straight away and it preserved as much healthy skin as possible.
Studies of people who had radiotherapy (often because they couldn’t have surgery) also show good results. Radiotherapy successfully controlled the cancer in about 90 out of 100 cases, with the cancer coming back in about 10 out of 100 cases over five years. People had different views about this treatment; many liked that it didn’t involve surgery, but some were concerned about the length of treatment and changes to their skin afterwards. If the cancer comes back after a long time, radiotherapy may be considered again to treat the recurrent BCC.
These findings show that both treatments can work well. Surgery might have slightly better immediate success rates, while radiotherapy remains a good option for people who can’t have, or don’t want to have, surgery. Your healthcare team will help you understand which treatment might work best for your situation.
Consultation and Making an Informed Decision
When you’re diagnosed with basal cell skin cancer, you’ll need to consider different treatment options, mainly radiotherapy and surgery. Having thorough discussions with your healthcare team is essential for making the right decision about your treatment. These discussions should start soon after diagnosis to give you enough time to consider all your options.
To get the most from these discussions, it helps to prepare. Make a list of any symptoms you’ve noticed, your medical history, and any previous treatments you’ve had. This information will help your healthcare team suggest the most suitable treatment for you. It’s useful to ask about specific aspects of your skin cancer, such as its type, size, and location, as these factors can influence whether radiotherapy or surgery would be better.
You should also ask about the benefits and risks of each treatment option. For example, surgery might remove the cancer more quickly, while radiotherapy might be easier if you have other health conditions. Important questions to ask include: How likely is the cancer to come back with each treatment? What side effects might I get? How will treatment affect my daily life? These questions will help you understand what to expect from each treatment option.
You might also want to get a second opinion to help you feel more confident about your decision. It’s important to weigh up the advantages and disadvantages of each approach, considering both your physical health and personal preferences. Having open and informative conversations with your healthcare team will help you make decisions that are right for you.
Frequently Asked Questions about treatment for BCC
Treatment Selection
Q: What determines the choice between surgery and radiotherapy for BCC?
A: Key factors include age, BCC location, size and type, general health, and personal preferences. The pros and cons of both approaches should be discussed with you before you make a final treatment decision
Q: How effective is radiotherapy for BCC?
A: Cure rates are comparable to surgery in appropriate cases, with excellent outcomes for both primary and recurrent BCCs. Ask your doctor if there are any differences in cure rates in your particular situation
Treatment Process
Q: How many treatments are needed when treating a BCC?
A: Conventional radiotherapy typically requires 5-10 daily treatments over 1-2 weeks, though there are other treatment schedules depending upon your unique situarion. Rhenium-SCT requires just one visit.
Q: What are the side effects of radiotherapy for BCC?
A: Early effects include skin irritation and mild fatigue. Late effects may include slight skin colour or texture changes. Effects are usually mild and well-tolerated. There are other less common side effects that will be discussed with you in detail. The side effects very much depend on which part of your body is being treated.
Aftercare
Q: How do I care for my skin during radiotherapy for basal cell carcinoma?
A: Key recommendations include:
- Gentle cleaning with warm water
- Avoiding soaps in the treatment area
- Using recommended moisturisers or other creams provided to you by your oncologist
- Sun protection
Q: What follow-up care is needed?
A: Regular monitoring appointments check treatment response and provide ongoing care advice.
Your medical team
Treatment is delivered by consultant clinical oncologists specialising in skin cancers, working closely with dermatologists and plastic surgeons to ensure optimal care pathways and so you can be sure that all treatment options have been considered with the aim of giving you the best results. All practices follow current evidence and guidelines from the British Association of Dermatologists and the Royal College of Radiologists.
As an experienced consultant oncologist, I have had the privilege of supporting patients through some of the most challenging times of their lives.
Over the years, I have seen first-hand the transformative impact that private cancer care can have on a patient’s journey. While the NHS does remarkable work under immense pressure, private care offers unique benefits that are difficult to replicate in a public healthcare system.
For many, choosing private oncology care is not just a medical decision but an emotional one, rooted in the desire for control, consistency, and personalised attention.
Here are some of the key reasons why private cancer care can be a compassionate and empowering choice…
Prompt access to care
Cancer is a deeply personal journey, and the care patients receive should reflect this. Private oncology care ensures patients receive the time, attention, and tailored support they deserve. One of the most significant advantages is the speed of access. In private care, there are no long waiting lists or delays in diagnostic testing and treatment. Early detection and swift action can make all the difference, and private care often eliminates the agonising waiting periods for results or treatment.
Another benefit is the ability to access the latest treatments and technologies. Private facilities frequently invest in cutting-edge equipment and therapies, ensuring patients have access to the most advanced care available. This level of innovation can offer hope and options where others might feel limited.
Utilising Harley Street expertise across the country
Harley Street has long been synonymous with excellence in private healthcare, and the cancer specialists here are among the best in the world. However, private care is no longer confined to London. Many Harley Street consultants, including myself, are utilising the advancement in remote work offered to us post-Covid and can now work with clients across the UK, ensuring that patients nationwide can benefit from a high level of expertise, without the need to for frequent travel.
Whether you are in Manchester, Birmingham, or Edinburgh, you can access the same high-quality care that Harley Street is renowned for, making world-class oncology support more accessible than ever.
Putting patients in the driving seat
One of the most empowering aspects of private cancer care is the control it gives to patients. Private care allows you to choose your consultant, decide on the timing of your appointments, and even explore second opinions without the bureaucracy that can sometimes hinder progress. This sense of autonomy can be incredibly reassuring during a time when so much feels out of your hands. Having the freedom to make informed choices about your care is a fundamental part of the private healthcare experience.
Consistent consultant care
In private oncology care, every appointment is with a consultant — not another member of the team. This continuity of care builds trust, fosters a deeper understanding of your needs, and ensures that you are always speaking with an expert who knows your case intimately. Many patients tell me how much they value this personal connection. It’s not just about the clinical expertise; it’s about feeling seen, heard, and truly cared for by someone who is with you every step of the way.
Rapid access to treatment
The harsh reality of the NHS, is the institution’s struggle to fit the sheer number of cancer
patients into a treatment plan quickly and efficiently. Treatment options, waiting times and access to specialist services are much quicker with a private oncologist.
As with all cancer treatment, the faster you are treated, the better chance we as oncologists have of curing the cancer you are suffering with. Private oncology can get you started with the latest medical technologies as quickly as a week after you enter our clinic. Not only this, private oncology also gives you rapid access to any further investigations you may need.
A compassionate choice
Cancer is more than a medical condition; it is an emotional and psychological journey. Private care recognises this and provides a level of holistic support that extends beyond the physical. From shorter waiting times to personalised treatment plans, private oncology care is designed to reduce stress and empower patients. At its core, it is about restoring dignity, offering hope, and ensuring that every patient feels valued and supported.
In my years of practice, I have learned that no two cancer journeys are the same. What remains constant, however, is the need for compassion, understanding, and choice. Private oncology care is not just about advanced treatments or luxurious facilities; it is about putting the patient at the heart of their care. For those navigating the uncertainties of cancer, this level of personalised support can make all the difference.
As your largest organ, your skin is one of the most important things to look after on your body. There are many preventative measures you can take to avoid any long-lasting damage. Skin cancer is one of the most common types of cancer worldwide, but with early detection, it’s almost always treatable.
Time and time again, I’ve witnessed the effects early detection (and actioning any changes early) can have on the prognosis and curability of skin cancer. As a consultant who treats people who have metastatic melanoma, I’m passionate about ensuring people spot the signs of skin cancer early. When it comes to radiotherapy for non-melanoma skin cancer, I know that the best cosmetic outcomes are achieved from treating small lesions – so don’t delay to seek a diagnosis and treatment.
It’s important to be clued up on the key symptoms, diagnostic strategies and warning signs that should prompt you to seek medical attention.
Symptoms of skin cancer
The symptoms of skin cancer can vary depending on the type of cancer you have. Basal cell carcinoma, squamous cell carcinoma and melanoma all have different signs, but some general signs to watch for include:
- New growths: Any unusual growth on the skin that wasn’t there before
- Changes to existing moles: Alterations in size, shape, or colour
- Non-healing sores: Persistent sores that do not heal over weeks or months
- Itching or pain: Lesions that are itchy, tender, or painful
- Bleeding or oozing: Spots that bleed, ooze, or form a crust without injury
The difference between cancerous and non-
cancerous moles
Benign moles are generally uniform in colour, have smooth borders, and remain consistent in appearance over time.
The ABCDE rule is used to identify the characteristics of melanoma:
- Asymmetry: One half of the mole does not match the other
- Border irregularity: Edges are jagged, notched, or blurred
- Colour variations: Multiple colours such as black, brown, red, white, or blue
- Diameter: Larger than 6mm (about the size of a pencil rubber)
- Evolution: Noticeable changes in size, shape, or symptoms like bleeding or itching
If you notice any of these signs, it’s important that you consult a dermatologist as soon as possible.
Other skin cancer symptoms you may experience
As well as changes to the skin, there are other symptoms you may experience if you’re
diagnosed with skin cancer.
Non-skin-related skin cancer symptoms include:
- Swollen lymph nodes near the affected area
- Fatigue and unexplained weight loss (in rare cases, with advanced melanoma)
- Pain in bones or other areas if the cancer has spread
Early signs of skin cancer
Early detection is the best thing you can do for a positive skin cancer outcome.
This early detection is critical and subtle signs can indicate the onset of skin cancer. These early detections include:
- A small, pearly bump or a pinkish area (often a sign of basal cell carcinoma)
- A rough, scaly patch that may crust or bleed (common in squamous cell carcinoma)
- A mole or spot that looks different from others on your body—often referred to as the “ugly duckling” sign
Skin cancer in lesser known areas
Skin cancer doesn’t always occur in sun-exposed areas. We often hear about individuals
noticing mole changes, but there are other common areas that aren’t as widely documented, including:
- Face and scalp: Basal cell carcinoma is commonly found here due to chronic sun exposure
- Hands and feet: Acral lentiginous melanoma, a rare type, often affects palms, soles, or under nails
- Hidden areas: Melanoma can appear in less obvious places like the groin, under breasts, or even on mucous membranes
The signs of skin cancer that you shouldn’t ignore
It’s essential to act quickly if you notice any of the following:
- A mole that changes rapidly over weeks or months
- A sore that bleeds, crusts, or does not heal
- Persistent redness, swelling, or tenderness around a lesion
- Dark streaks under fingernails or toenails
- Any new growth on previously clear skin
Skin cancer is a serious condition, but early detection saves lives. Regular skin self-
examinations, using the ABCDE method, and annual dermatologist visits are crucial steps in maintaining skin health.
If you notice any suspicious changes, don’t delay—consult a specialist right away.
About Dr James Wilson
As a highly experienced clinical oncologist, I provide comprehensive care for patients with metastatic melanoma. My goal is to start your treatment quickly and efficiently, using the latest medical advancements.
My approach combines rapid access to the most appropriate treatments with compassionate support for you and your loved ones. I focus on preserving your overall health and minimising long-term effects of cancer and its treatment. With extensive training from world-leading institutions, I offer personalised care tailored to your unique needs.