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It treats patients at two locations in Santo Domingo and La Romana. The team focuses on oncology, including breast, brain, and colorectal cancers. Its 10 specialists trained at Yale University and the Complutense University of Madrid.</p><p>Dr. Wilson Mourad founded the center in 2012. It was the first in the country to perform SBRT treatments. In 2018, the clinic earned a quality certification from the European Society for Radiotherapy &amp; Oncology. This confirms correct dose distribution for advanced radiation treatments. The center also holds certifications from 2016 and 2017.</p><p>The facility uses Halcyon and CLINAC 21 IX linear accelerators by Varian Medical Systems. Diagnostics include the PET-CT Discovery IQ with LightBurst technology for sharp imaging. Specialists apply respiratory gating and image-guided radiotherapy to improve accuracy. Before each session, they run real-time anatomical comparisons with high-definition PortalVision imaging.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9855,"alias":"cdd-radioterapia","name":"CDD Radioterapia","short_description":"<p>CDD Radioterapia is a specialized radiotherapy and radiosurgery center in the Dominican Republic. It treats patients at two locations in Santo Domingo and La Romana. The team focuses on oncology, including breast, brain, and colorectal cancers. Its 10 specialists trained at Yale University and the Complutense University of Madrid.</p><p>Dr. Wilson Mourad founded the center in 2012. It was the first in the country to perform SBRT treatments. In 2018, the clinic earned a quality certification from the European Society for Radiotherapy &amp; Oncology. This confirms correct dose distribution for advanced radiation treatments. 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La duración y los detalles del tratamiento y la recuperación pueden variar.</i></p>"},"overview":{"text":"<h3>Radioterapia para el cáncer colorrectal</h3> <p>Consiste en utilizar rayos de alta energía para destruir las células cancerosas del colon o el recto.</p> <div>[<b>Ventajas:</b><span> La radioterapia oncológica puede dirigirse con precisión a los tumores, minimizando el daño a los tejidos circundantes. Tiene una elevada tasa de control local de hasta el 80%.</span></div> <div>[icon-cons<b>]Contras</b><span>: En aproximadamente el 20% de los pacientes se producen efectos secundarios como fatiga e irritación intestinal. Puede requerir múltiples sesiones durante varias semanas.</span></div> <div>[icon-efecto<b>]Eficacia:</b><span> Logra el control local en aproximadamente el 80% de los casos.</span></div> <div>[icon-reloj<b>]Duración:</b><span> El procedimiento dura unas 5-6 semanas con sesiones diarias.</span></div> <div>[icon-run<b>]Recuperación:</b><span> La recuperación suele durar 1-2 semanas.</span></div> <div>[icon-thumbs<b>]Indicado para:</b><span> Indicado para tratar tumores localizados en el colon o el recto.</span></div> <div>[icon-price<b>]Precios:</b><span> [txt-país]</span></div>"}}},"relations":{"countries":[{"name":"Alemania","alias":"germany","iso_code":"DE"},{"name":"Austria","alias":"austria","iso_code":"AT"},{"name":"China","alias":"china","iso_code":"CN"},{"name":"Corea del Sur","alias":"republic-of-korea","iso_code":"KR"},{"name":"Egipto","alias":"egypt","iso_code":"EG"},{"name":"España","alias":"spain","iso_code":"ES"},{"name":"Estados 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Short-course: about day 7-10."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":7,"max":35,"unit":"days","qualifier":"Weekly on-treatment review of toxicity during a conventional long-course schedule; counted from the first session."}},{"purpose":"result_review","requirement":"routine","after":{"min":70,"max":120,"unit":"days","qualifier":"Response restaging, typically about 6-12 weeks after completing long-course radiotherapy, before surgery or watch-and-wait decisions; counted from the first session."}}],"indications":["Locally advanced rectal cancer (stage II-III) before surgery","Rectal cancer needing downstaging or sphincter/organ preservation","Adjuvant or palliative rectal radiotherapy: positive margins, recurrence, symptoms","Colon cancer: locally advanced T4, unresectable, or palliative"],"main_risks":["Fatigue","Radiation proctitis: diarrhoea, urgency, rectal pain, tenesmus","Skin irritation in the treated area","Urinary symptoms, cystitis","Low blood counts and gastrointestinal toxicity when combined with chemotherapy","Late bowel dysfunction, including low anterior resection syndrome","Sexual dysfunction and infertility, including early menopause in women","Pelvic insufficiency fractures","Rarely, strictures, fistulas or secondary malignancy"],"pain":"The delivery itself is painless. Discomfort develops during the course from bowel and bladder irritation (rectal pain, cramping, burning on urination) and skin soreness, usually manageable with supportive medication.","preparation":["Tumour board review and staging (pelvic MRI, CT, colonoscopy)","Planning CT simulation with immobilization and skin marks","Bladder-filling and bowel instructions from the radiotherapy team","Fertility preservation talk; baseline bowel, urinary, sexual function","Review of concurrent chemotherapy plan and baseline blood tests"],"recovery_timeline":[{"phase":"During radiotherapy","description":"Daily outpatient sessions; fatigue, loose stools, urinary symptoms and skin reaction build up, with weekly toxicity checks.","restrictions":["Follow the team's guidance on diet, hydration and skin care","Report fever, severe diarrhoea or bleeding to the team."]},{"phase":"First weeks after completion","description":"Acute side effects peak soon after the end of treatment, then gradually settle over several weeks.","restrictions":[]},{"phase":"Interval before restaging or surgery","description":"Tumour response develops; the team then restages and decides on surgery or an organ-preserving approach.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Acute bowel, bladder and skin effects peak soon after the last session and settle over several weeks."},"result_longevity":"Local tumour control after radiotherapy is usually durable, but lasting outcome depends on subsequent surgery, systemic therapy and stage. Late bowel and sexual effects can persist long-term.","revision_rate_pct":null,"scars":"None; no incisions.","sessions_or_stages":{"sessions":{"min":25,"max":28,"unit":"visits","qualifier":"Daily weekday fractions in long-course chemoradiotherapy (about 45-50.4 Gy); short-course alternative is 5 fractions over about 1 week."},"stages":[{"code":"planning","label":"Simulation CT and planning before the first session","after":{"min":0,"max":0,"unit":"days","qualifier":"Before the first fraction (day 0)."}},{"code":"radiotherapy_course","label":"Daily weekday radiotherapy with concurrent chemotherapy","after":{"min":0,"max":38,"unit":"days","qualifier":"First to last fraction, about 5-5.5 weeks."}}],"qualifier":"Long-course neoadjuvant chemoradiotherapy for rectal cancer; any surgery is separate."},"success":{"metric":"Local recurrence-free rate after chemoradiotherapy and surgery","value":93,"unit":"percent","horizon":"5 years","population":"Adults with locally advanced stage II-III rectal cancer receiving long-course chemoradiotherapy then surgery","evidence_status":"limited"},"techniques":[{"name":"Long-course chemoradiotherapy (IMRT/VMAT or 3D conformal external beam)","suits_whom":"Locally advanced rectal cancer, especially with threatened margins or low tumours where downstaging is needed.","recovery":"Daily outpatient sessions over about 5-6 weeks, followed by an interval before surgery."},{"name":"Short-course radiotherapy (5 x 5 Gy)","suits_whom":"Selected rectal cancers, including intermediate-risk or frail patients, sometimes followed by consolidation chemotherapy.","recovery":"Five outpatient sessions over about one week; surgery or further therapy follows after a protocol-defined interval."},{"name":"Contact or brachytherapy boost","suits_whom":"Selected early or small rectal tumours in specialist centres for organ preservation.","recovery":"Outpatient, specialist-dependent; schedule varies by centre."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.5,"unit":"hours","qualifier":"Per daily fraction, including positioning and beam delivery (about 15-30 minutes in the treatment room)."},"initial_assessment_documents":["Colonoscopy report","Biopsy and pathology report","Pelvic MRI report and images","Staging CT chest and abdomen","CEA blood test result","Previous radiotherapy history (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Daily sessions need a continuous stay of about 5-6 weeks (1 week short-course); second trip only for restaging."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/procedure=lucevaa-terapia-pri-rake-pramoj-kiski/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":1,"alias":"esophageal-cancer","name":"Cáncer de esófago"},{"id":3,"alias":"breast-cancer","name":"Cáncer de mama"},{"id":6,"alias":"ovarian-cancer","name":"Cáncer de ovarios"},{"id":12,"alias":"lymphoma","name":"Linfoma"},{"id":26,"alias":"cervical-cancer","name":"Cáncer de cuello uterino"},{"id":56,"alias":"astrocytoma","name":"Astrocitoma"},{"id":87,"alias":"hypophyseal-adenoma","name":"Adenoma hipofisario"},{"id":95,"alias":"thyroid-cancer","name":"Cáncer de tiroides"},{"id":98,"alias":"bone-cancer","name":"Cáncer de hueso"},{"id":99,"alias":"sarcoma","name":"Sarcoma"},{"id":100,"alias":"bladder-cancer","name":"Cáncer de vejiga"},{"id":125,"alias":"hodgkin-s-disease","name":"Linfoma de Hodgkin"},{"id":145,"alias":"adenocarcinoma","name":"Adenocarcinoma"},{"id":184,"alias":"kidney-cancer","name":"Cancer de RIÑON"},{"id":196,"alias":"testicular-cancer","name":"Cáncer testicular"},{"id":235,"alias":"retinoblastoma","name":"Retinoblastoma"},{"id":258,"alias":"leiomyosarkom","name":"Leiomiosarcoma"},{"id":259,"alias":"meningoblastoma","name":"Meningioma"},{"id":309,"alias":"small-intestine-cancer","name":"Cáncer de intestino delgado"},{"id":351,"alias":"nephroblastoma","name":"Nefroblastoma (tumor de Wilms)"},{"id":360,"alias":"sigmoid-adenocarcinoma","name":"Adenocarcinoma sigmoide"},{"id":398,"alias":"osteosarcoma","name":"Osteosarcoma"},{"id":399,"alias":"ewing-sarcoma","name":"Sarcoma de Ewing"},{"id":400,"alias":"rhabdomyosarcoma","name":"Rabdomiosarcoma"},{"id":424,"alias":"tonsil-cancer","name":"Cáncer de amígdalas"},{"id":531,"alias":"non-hodgkin-s-lymphoma","name":"Linfoma no Hodgkin"},{"id":592,"alias":"glioma","name":"Glioma"},{"id":669,"alias":"follicular-lymphoma","name":"Linfoma folicular"},{"id":944,"alias":"medulloblastoma","name":"Meduloblastoma"},{"id":1187,"alias":"burkitt-s-lymphoma","name":"Linfoma de Burkitt"},{"id":2236,"alias":"liver-cancer-stage-2","name":"Cáncer de hígado etapa 2"},{"id":2237,"alias":"liver-cancer-stage-3","name":"Cáncer de hígado etapa 3"},{"id":2261,"alias":"stomach-cancer-stage-2","name":"Cáncer de estómago etapa 2"},{"id":2270,"alias":"stage-4-lung-cancer","name":"Etapa 4 del cáncer de pulmón"}],"rendersOffersList":false}