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Last update September 2024

Immunotherapy vs Chemotherapy

I’m considering different treatment options for cancer. How do immunotherapy and chemotherapy compare in terms of effectiveness, side effects, and long-term outcomes?

Answered by

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Lisa Miller, Patient Advocate

When considering cancer treatment options, immunotherapy and chemotherapy differ in their approach, effectiveness, side effects, and long-term outcomes.

Mechanism of Action

  • Immunotherapy uses the body’s immune system to target cancer cells, potentially offering lasting protection against recurrence.
  • Chemotherapy directly kills rapidly dividing cells, including cancer cells, but also affects healthy cells.
 

Effectiveness

  • Immunotherapy shows promise in cancers like melanoma and lung cancer, especially when combined with other treatments. It may provide long-term benefits and lasting immunity.
  • Chemotherapy is well-established for shrinking tumors and treating various cancers, often used with surgery or radiation.
 

Side Effects

  • Immunotherapy: Fatigue, skin reactions, and, in rare cases, autoimmune responses. Side effects may be unpredictable and persist after treatment.
  • Chemotherapy: Nausea, hair loss, and reduced blood cell counts, with side effects typically occurring during treatment and often temporary.
 

Long-Term Outcomes

  • Immunotherapy can offer durable responses and is increasingly integrated into treatment plans, particularly for patients with specific biomarkers.
  • Chemotherapy improves survival rates but may not offer the long-term immunity that immunotherapy can potentially provide.
 

Choosing between the two depends on the cancer type, stage, and individual health. Discussing these options with a healthcare provider is key to determining the best approach.

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