The Christie charity
Patient booklets
The Christie produces a range of patient information that covers various aspects of cancer and cancer treatments.
Booklets are free to patients coming to The Christie and are available from the cancer information centre (department 3). The centre offers a confidential service for anyone affected by cancer. Please call in or contact us by telephone on 0161 446 8100.
We also offer a number of chemotherapy information sheets about individual chemotherapy treatments.
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Supportive care
Actiq® is used to treat breakthrough pain (a temporary flare in pain) related to cancer. The possible benefits of treatment vary; your doctor, nurse, or pharmacist will be happy to answer any questions you have about your treatment.
Supportive care
Abstral® is used to treat breakthrough pain (a temporary flare in pain) related to cancer. The possible benefits of treatment vary; your doctor, nurse, or pharmacist will be happy to answer any questions you have about your treatment.
This should be read in conjunction with the manufacturer’s patient information leaflet.
Supportive care
Alfentanil is used to treat pain that is difficult to control. It is offered as a guide to you and your family. The possible benefits of treatment vary; your doctor, nurse, or pharmacist will be happy to answer any questions you have about your treatment.
This should be read in conjunction with the manufacturer’s patient information leaflet
Adjuvant bisphosphonate service (ABS) in the treatment of early breast cancer
You have been given this leaflet because you have been referred to the adjuvant bisphosphonate service (ABS) and chosen to start bisphosphonate treatment for your early breast cancer.
An introduction to the proton beam therapy service
This folder provides you with all the information you need to know throughout your proton beam therapy treatment at The Christie. As well as this folder you will be given other information more specific to your illness and treatment.
A guide for patients receiving radiotherapy on the MR-linac
Your doctor has discussed with you the opportunity to have your radiotherapy treatment on a new treatment unit known as the MR-linac (magnetic resonance linear accelerator). The Christie is one of the first hospitals internationally to use this technology. The machine combines a normal radiotherapy unit with an MRI scanner. You may have had MRI (magnetic resonance imaging) scans before at the hospital.
This machine will allow us to see the treatment area more clearly and adapt the treatment to improve accuracy.
A guide for patients and their carers to think of some answers to questions about current health, people involved in a patient's care and future planning.
A-Z of coping with nausea and vomiting
This guide has been written to help you understand more about nausea (feeling sick) and vomiting (being sick). It contains information you may find useful to help manage sickness.
Serious side effects of anticoagulation can include an increased risk of bleeding. Contact The Christie Hotline with any other clinical queries but for any of the symptoms below you should seek emergency medical attention via 999 or your local A&E department.
This leaflet tells you about the procedure known as angiogram. It explains what is involved and the benefits and risks. It may make you think of the things you would like to discuss with your doctor/s.
Antacid and oxetacaine oral suspension
Why have you been prescribed antacid and oxetacaine suspension? Oxetacaine is a topical anaesthetic, which effectively relieves pain when applied to the lining of the mouth and food pipe. The antacids neutralize stomach acid and prevent further irritation of the food pipe. Antacid also thickens the liquid to help carry the oxetacaine and coat the food pipe.
Abdominoperineal excision of the rectum (APER)
This leaflet tells you about the procedure known as an abdominoperineal excision of rectum (APER). It explains what is involved, and some of the common complications associated with this procedure. It is not meant to replace discussion between you and your surgeon, but is intended to be used as a guide in connection to what is discussed.
Arginine stimulation test [PDF file - 107KB]
Information sheet about the arginine stimulation test to check if the body is producing enough growth hormone.
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Basal cell carcinoma (BCC) is also known as rodent ulcer. It is the most common type of skin cancer in white-skinned people. It usually occurs on sun-exposed areas of skin in the middle-aged and elderly, but it may grow on any area of skin and can occur in younger people.
Bowen's disease is a skin lesion that affects the topmost layer (epidermis) of the skin. It appears as a red or brown scaly patch and it is usual to have a single lesion. It most commonly occurs on the lower leg but it can develop on any part of the body. People over the age of 60 are more likely to develop these lesions and they are rare in the under-30 age group.
What to expect during the first year of diagnosis of secondary breast cancer
Whilst attending The Christie you will be given the contact details of the Macmillan secondary breast clinical nurse specialists (CNS). We are a team of nurses specialised in providing support for you and your family and friends. Outlined below is the support pathway you should expect to receive during the first year following your diagnosis. We encourage you to attend your appointment to the nurse-led clinic as this contact then leads on to additional available support, if required.
This booklet is to tell you about radiotherapy to the bladder. The Christie is a specialised centre for radiotherapy and patients come for treatments that are not always available at general hospitals. If you are having radiotherapy as an inpatient, please bring this booklet with you.
This leaflet explains what a skin biopsy is and the benefits, risks and alternatives of this procedure. If you have any questions, please speak to your doctor or nurse.
This leaflet explains how to take care of your wound(s) when you leave hospital. If you have any questions, please see our contact details overleaf.
This is an information sheet for patients who need to follow the bladder filling protocol to ensure their bladder remains the same size throughout their treatment.
Blood test sheet [PDF file - 105KB]
Information sheet about what patients should expect when attending for a blood test to assess hormone levels.
Baxter Infusor guide [PDF file - 284KB]
Booklet about the Baxter infusor (also called the Baxter pump), a lightweight, disposable device containing chemotherapy used to give a slow, continuous infusion into the bloodstream via a CVC (central venous catheter) or PICC (peripherally inserted central venous catheter).
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Information about your CT scan
This information explains what happens when you come for a CT (computed tomography) scan. This is sometimes called a CAT Scan (computerised axial tomographic scan). The scanner is like a ring with a large hole, it is not an enclosed tunnel. The patient lies on the table which moves through this hole.
How to give a compliment, raise concerns or make a complaint
At The Christie, we welcome any feedback that you can give us – good or bad – about any aspect of your contact with the hospital. We need to know if we are not providing you or your relative or friend with a good service. We also like to know when we are getting things right.
Cancer of the penis (penile cancer)
Penile cancer is a rare cancer. The exact cause of the disease is not known. However, there are some factors which appear to increase a man’s risk of the disease.
Information sheet giving advice to patients on what to expect after having a cordotomy and what to do if any problems arise.
Checking your blood glucose levels
A booklet outlining how and why the nurse checks your blood glucose levels.
Colorectal and peritoneal oncology centre
Discharge information: things to remember
Use of the CADD Solis VIP pump at home
Your treatment has started today using a CADD Solis VIP pump. The CADD Solis pump is an electronic pump designed to administer your treatment whilst you are at home. You may also have a Baxter infusor pump attached containing normal saline to ensure your line doesn’t block between treatments.
Capecitabine for colorectal patients - Treatment Diary
If you experience significant side-effects whilst taking Capecitabine, your doctor may prescribe other treatments to relieve the symptoms and/or the Capecitabine may be stopped until the side-effects have settled. For subsequent cycles, a reduced dose of treatment may be prescribed
Clinical trials at The Christie [PDF file - 102KB]
The Christie is an international leader in cancer research and therefore you may be approached to take part in a research study or clinical trial. All information will remain entirely confidential and you will always be approached directly to take part in a clinical trial.
Information for patients taking capecitabine during radiotherapy to the head and neck
Your doctor has recommended that you have a course of capecitabine tablets along with your radiotherapy. Capecitabine is a chemotherapy drug taken by mouth.
The majority of inpatients will be given a predicted discharge date soon after their admission to hospital. This is widely recognised as good practice and improves the patient’s experience, helping them to feel more in control.
Clonazepam 1mg/1ml injection (Rivotril®) [PDF file - 115Kb]
Supportive care: specialist medicines
Clonazepam is used to treat pain that is difficult to control. The possible benefits of treatment vary; your doctor, nurse, or pharmacist will be happy to answer any questions you have about your treatment.
Clonazepam tablets [PDF file - 115Kb]
Supportive care: specialist medicines
Clonazepam is used to treat pain that is difficult to control. The possible benefits of treatment vary; your
doctor, nurse, or pharmacist will be happy to answer any questions you have about your treatment.
Chimeric Antigen Receptor T Cell (CAR T cell) Therapy
Cellular therapy programme
CAR T cell therapy is a new treatment. It involves using your own body’s immune system to treat your cancer. Our immune systems monitor for unhealthy cells or foreign invaders such as infection or viruses. It uses several kinds of blood cells to destroy anything unfamiliar by recognising the unique protein (antigen) and identifying them as foreign.
After your MRI contrast/dye injection
Proton beam therapy unit
You have been given an injection of MRI contrast/dye to help highlight the area of interest on your magnetic resonance scan. A reaction to the contrast/dye is extremely rare. However, if a reaction does occur, this usually happens shortly after the injection. These effects are usually very mild and do not last long.
After your CT contrast/dye injection
Proton beam therapy unit
After your CT contrast/dye injection we will ask you to wait in the department with the cannula in your arm for a minimum of 15 minutes. We keep the cannula in place in case we need to give you some medication if you have a reaction. Although a reaction to the contrast/dye injection is extremely rare, there are certain factors that can increase the waiting time with the cannula in your arm to 30 minutes e.g. pre-existing conditions, certain medications etc.
After your contrast/dye injections
Proton beam therapy unit
You have been given a CT contrast/dye injection: After your CT contrast/dye injection we will ask you to wait in the department with the cannula in your arm for a minimum of 15 minutes. We keep the cannula in place in case we need to give you some medication if you have a reaction. Although a reaction to the contrast/dye injection is extremely rare, there are certain factors that can increase the waiting time with the cannula in your arm to 30 minutes e.g. pre-existing conditions, certain medications etc. If a reaction does occur, this usually happens shortly after the injection. These effects are usually very mild and do not last long.
Complementary health and well-being
A guide for patients and their carers to the complementary health and well-being service at The Christie.
Concurrent radiotherapy and chemotherapy for sarcoma
Radiotherapy is used with chemotherapy for two main reasons:
1. To reduce the number of cancer cells, which could be circulating around your body.
2. To shrink your cancer prior to radiotherapy.
The likelihood is that you will have started your chemotherapy and that radiotherapy will be advised at a
later date.
Information about your MRI contrast/dye
You have been given an injection of MRI contrast/dye to help highlight the area of interest on your magnetic resonance scan.
Cardiopulmonary exercise testing (CPET)
Department of surgery
Cardiopulmonary exercise testing (CPET) is a non-invasive method used to assess the performance of the heart and lungs at rest and during
exercise.
The Christie cyclical dispensing scheme
There are some medicines we use to treat cancer that only require you to see your consultant every few months to monitor your treatment and side effects. For these medicines you will be issued with a prescription for more than 1 cycle of your medicine at each appointment. For
medicines which are a part of the cyclical dispensing scheme, the pharmacy will supply this in instalments; typically 1 cycle of medication
will be supplied in each instalment.
Colonic stent – your procedure explained
This leaflet tells you about the procedure called a colonic stent. It explains what is involved, and the benefits and risks. It may make you think of things you would like to discuss with your doctor.
This leaflet tells you about the procedure known as a cholangiogram. It explains what is involved and what the benefits and risks are. It may make you think of things you would like to discuss with your doctor.
This leaflet tells you about the procedure known as a cystogram. It explains what is involved and what the benefits and risks are. It may make you think of things you would like to discuss with your doctor.
Cortisol day curve [PDF file - 107KB]
Information sheet about the coristol day curve to check how much cortisol a body is producing.
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Dietary advice and Pseudomyxoma Peritonei (PMP)
This information is for patients with pseudomyxoma peritonei (PMP). A common problem caused by PMP is a change in bowel habit due to the disease pressing on the bowel which can prevent the absorption of food. You may need to change your diet to make sure you are getting sufficient nutrition.
DVLA driving regulations: primary brain and spinal cord tumours
Read the regulations about driving licences and find out what you have to do when you have been diagnosed with a central nervous system tumour.
Dietary advice: reducing bowel gas during radiotherapy
Advice to patients on how to reduce gas in the bowel during treatment with radiotherapy and a diary chart to complete.
Dietary advice: reducing diarrhoea during radiotherapy
Advice to patients on how to cope with diarrhoea during treatment with diarrhoea and a diary chart to complete.
If you are clinically well and have a surgical drain, you can still go home. This leaflet will provide the information you need to care for your drain. You will be taught how to look after it on the ward before you are discharged.
Radiation therapy for early Dupuytren's disease
This information sheet is to tell you about radiotherapy for early Dupuytren’s disease. It describes the most common treatments, and some may not apply to you. The clinical team will discuss your treatment with you and explain anything you do not understand.
Deep Inspiration Breath Hold (DIBH) using Surface Guided Radiotherapy (SGRT) [PDF file - 188KB]
This leaflet is for patients who have been offered radiotherapy using Deep Inspiration Breath hold technique (DIBH) and Surface guided Radiotherapy (SGRT).
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This booklet offers advice on ways to alter your diet at a time when you are concerned about loss of appetite, losing weight or because of eating difficulties. This may be because of your disease or because of the side effects of treatment. Eating can be a problem when you feel unwell. It may be hard to be enthusiastic about preparing food or eating it. For people having treatment with chemotherapy or radiotherapy, it can be even more of a problem.
Exchange of a nephrostomy tube
This leaflet will tell you about exchange of a nephrostomy tube. It explains what is involved and any risks that may be associated with the procedure.
Supportive care
Effentora® is used to treat breakthrough pain (a temporary flare in pain) related to cancer. The possible benefits of treatment vary; your doctor, nurse, or pharmacist will be happy to answer any questions you have about your treatment.
This should be read in conjunction with the manufacturer’s patient information leaflet.
Exercise classes for people having axillary node clearance
Your shoulder can become stiff or uncomfortable as a result of treatment. Doing these exercises will help prevent or minimise stiffness and discomfort.
This leaflet tells you about the procedure known as embolisation. It explains what is involved and what the benefits and risks are. It may help you to think of things that you would like to discuss with your doctor.
Eating well during coronavirus/COVID-19
It is extremely important to try and eat well as you continue to recover at home. This can help you build strength, reduce your risk of infection, minimise weight loss and stay well.
Efudix (5-FU) cream for Anal Intraepithelial Neoplasia (AIN)
Anal intraepithelial neoplasia (AIN) is abnormal cells in the skin around or just inside the anus. It is important to monitor AIN as there is a small risk that it can transform into anal cancer over many years. Many people with AIN have no symptoms, but it can be uncomfortable with soreness, itching or occasionally bleeding.
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For new patients commencing a trastuzumab biosimilar
One of the medicines your doctor has recommended for you is called a trastuzumab biosimilar. Previously, suitable patients with breast cancer received a biologic medicine called trastuzumab (Brand name 'Herceptin®'). Instead of the biologic, The Christie now uses a biosimilar in its place. This leaflet will help you understand more about biologic and biosimilar medicines, but if you have any questions please ask your pharmacist, nurse or doctor.
For patients changing from intravenous Herceptin® to a trastuzumab biosimilar
One of the medicines your doctor has previously prescribed for you, trastuzumab (Herceptin®) is called a biologic medicine. Instead of the biologic, The Christie now uses a biosimilar trastuzumab in its place.
This leaflet will help you understand more about biologic and biosimilar medicines, but if you have any questions please ask your pharmacist, nurse or doctor.
Bringing food and drink into hospital: information for patients, carers and relatives
The Christie provides a variety of high quality, safe and nutritious food and drinks to patients in hospital. Great care is taken to provide food which is right for the needs of individual patients.
Choices suitable for all special dietary requirements are available,whether medical, religious, conscientious or personal. Diet is part of the essential care of the patient. If it is not right the patient may recover less quickly.
Fasting blood test [PDF file - 105KB]
Information sheet about what a patient should expect when attending for a fasting blood test.
Fasting gut hormones [PDF file - 106KB]
Information sheet about what patients should expect when attending for a blood test to assess fasting gut hormone levels.
Preparation for treatment with fluorouracil [PDF file - 68KB]
You are starting a chemotherapy regimen containing a drug called fluorouracil (sometimes called 5-FU). You will have a central venous catheter (a line) inserted to give the chemotherapy.
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Groin or inguinal lymph node dissection
This leaflet describes groin on inguinal lymph node dissection. This means removing the lymph nodes or glands from one or both sides of the groin. It is major surgery and is carried out under a general anaesthetic.
Genetic testing for ovarian and breast cancer [PDF file - 115KB]
This information leaflet is intended to help women with ovarian cancer understand some of the issues around genetic testing for BRCA1 and BRCA2 genes.
Diagnosing and treating cancer requires a team of experts, called a multidisciplinary team (MDT). Read more about the MDT who are all specialised in gynaecological cancer.
Urology department
This information tells you about what happens when you come for a glans resurfacing under a general anaesthetic. It explains what is involved and the benefits and risks. It may make you think of things you would like to discuss with your doctor/s
Genotropin® to Omnitrope® switch
You are currently receiving Genotropin®. This is a brand name for the drug somatropin (growth hormone). The Endocrinology team is looking at switching to a different brand of somatropin called Omnitrope®. There should be no difference in the effectiveness of the drug but it does significantly reduce the cost to the NHS of this treatment.
Goblet cell adenocarcinoma of the appendix
Goblet cell adenocarcinoma of the appendix is a rare cancer, occurring in approximately 1 to 2 people per million. The goblet cell adenocarcinomas cover a range of cancers with different types of cells within them.
Having a combined gastroscopy and colonoscopy
Your doctor has recommended that you have a gastroscopy and a colonoscopy. This involves two procedures, one to look at the lining of your stomach and the second to look at the lining of your large bowel.
Glucagon simulation test [PDF file - 113KB]
Information sheet about the glucagon stimulation test which checks if your body is producing enough cortisol (the body's natural steroid hormone) and growth hormone.
Growth hormone profile [PDF file - 106KB]
Information sheet about the growth hormone profile which assesses how much growth hormone a body is producing. It is used to confirm a diagnosis of acromegaly or is used as a measure of disease activity.
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Information sheet describing hemianopia which is the loss of part of the field of on the same side in both eyes.
The Haematology Multi-disciplinary team
Leaflet describing the role of the MDT and the members of the team.
People coping with cancer are not always aware of the many helpful services they can call on. This booklet tells you what sort of help there is at The Christie and in your local area.
The Hepato (liver), Pancreas and Biliary tract (HPB) specialist nursing service [PDF file 105KB]
The HPB nursing service provides a key worker for patients who are referred to The Christie for treatment. Key workers are a point of contact for patients throughout their cancer treatment and follow-up.
Information for patients about the importance of hydration
Dehydration occurs when the body loses water faster than it can replenish the fluids. Thirst is the body’s natural response to dehydration, however this is far less effective in older people and people who have had a stroke or who are suffering from Alzheimer’s disease can be particularly insensitive to thirst.
The Christie Haematology Clinical Nurse Specialist Service
The haematology CNS service is offered by a team of experienced cancer nurses. They have specialist knowledge and skills in the care and support of people with haematological conditions. They work closely with your team of doctors.
Helping to prevent pressure ulcers
You have been identified as being at risk of developing a pressure ulcer. Pressure ulcers can take a long time to heal and may mean that you have to stay in hospital for some time.
Having a colonoscopy via stoma
Your doctor or nurse practitioner has recommended that you have a colonoscopy. This is a procedure to look at the lining of your large bowel through your colostomy (stoma). We want to make you as comfortable as possible during your stay. This booklet answers commonly asked questions about colonoscopy.
Hydrocortisone day curve [PDF file - 107KB]
Information sheet about the hydrocortisone day curve to check if a patient is taking the right dose of steroid replacement
Haematology nurse-led clinics [PDF file - 104KB]
Information sheet about what patients should expect from the haematology service nurse-led clinics
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Infection prevention and control [PDF file 105KB]
This page gives information about the Infection prevention and control team at The Christie and information about how patients can help themselves while they are in hospital and when they go home.
Information about your post treatment thyroid scan
Information sheet describing the preparation, process and precuations needed for a thyroid scan
A guide to your IVC filter removal
This leaflet tells you about the procedure known as ‘inferior vena cava (IVC) filter removal’.
Information about your parathyroid scan
A parathyroid scan is used to examine how your parathyroid glands are working. It can also identify parathyroid tissue away from its normal position in the neck. For this scan we will administer two different tracers, each containing a small amount of radioactivity.
An inflatable penile prosthesis (or penile implant) is a medical device which is surgically inserted into the penis, scrotum and tummy through small incisions. It is used for patients who have tried all other options.
Information for patients with Clostridium difficile infection
Clostridium difficile (also known as C.diff, CDI), is a bacterium that can cause infections in the bowel. The symptoms include abdominal pain, diarrhoea, and sometimes fever.
Information for patients with MRSA
MRSA stands for Meticillin Resistant Staphylococcus Aureus. Staphylococcus Aureus is a bacterium or germ found on about a third of the population, especially in the nose and throat and on the skin.
Information for patients about carbapenemase-producing enterobacteriaceae (CPE) screening
Enterobacteriaceae are bacteria that usually live harmlessly in the gut of humans. However, if the bacteria get into the wrong place, such as the bladder or bloodstream, they can cause infection.
Information about the learning from deaths process at The Christie
All NHS trusts routinely carry out a review of the case notes of a proportion of patients who die in their care. This helps NHS trusts continue to learn and improve the care they provide.
A biopsy is a procedure where a small piece of tissue is taken from the body. This can then be looked at under a microscope to tell what kind of cells are in the tissue.
Biopsies can be done using ultrasound or computed tomography (CT). Ultrasound uses sound waves, and CT uses X-rays, to look at tissues inside the body. The radiologist (radiology doctor) doing the biopsy will decide on the most appropriate method and use it to guide a needle into the right place to take a sample.
The most common organs biopsied are the liver, kidney, pancreas and lymph nodes.
Infrapubic inflatable penile prosthesis
The insertion of an inflatable penile prosthesis is reserved for patients who have tried all other options to regain their erections, but they have failed, or treatments have been unacceptable. It is also used in patients with Peyronie’s disease, and priapism.
Information for patients referred for duodenal stent insertion
This leaflet tells you about having a duodenal stent. It explains what is involved before and after insertion, including the benefits, risks and dietary advice. It may make you think of things you would like to discuss with your doctor.
Patients receiving immunotherapy after cycle 2
Homecare and outreach service
The Christie at Home team provides specialist treatment and assessment in your home.
Our outreach service provides specialist treatment and assessment at a range of locations which are closer to your home than our Withington
site.
Information about using a vaginal dilator [PDF file 727kb]
After radiotherapy to the pelvis, you may experience some side effects to the vagina. These can include vaginal dryness, irritation and soreness. Sometimes scar tissue (fibrosis) can form, causing narrowing (atrophy) or shortening (stenosis) of the vaginal walls. These side effects are unlikely to cause any discomfort whilst undertaking your day-to-day living, however if sexually active or requiring a gynaecological examination they may result in some discomfort and difficulties.
Instillagel - information for patients [PDF file, 103KB]
You have been prescribed Instillagel to use due to pain or discomfort. This may be because of the cancer itself, or due to side effects of your radiotherapy treatment.
Insulin tolerance test [PDF file - 114KB]
Information sheet about the insulin tolerance test which checks if a body is producing enough cortisol and growth hormone.
Information about your octreotide scan [PDF file - 115KB]
This scan is used to detect certain types of tumours arising from the neuro-endocrine systems of the body. This examination is performed over two days.
Information for patients about E. coli [PDF file - 100KB]
Because E. coli colonises the gut as part of the natural bacteria, it is easy for you to infect yourself with E. coli, especially if you have open
channels such as catheters, lines or wounds; or you are immunosuppressed.
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Ketorolac injection [PDF file - 115Kb]
Supportive care: specialist medicines
This leaflet provides information on a medicine called ketorolac which is used to treat pain that is difficult to control. It is offered as a guide to you and your family. The possible benefits of treatment vary; your doctor, nurse, or pharmacist will be happy to answer any questions you have about your treatment.
We may be recommending this medicine to be used for a condition it was not originally designed for; so you may find that there are some differences between the hospital and the manufacturer’s information. This additional information will inform you of the reason(s) why you are taking this medicine and to highlight any other information. This should be read in conjunction with the manufacturer’s patient information leaflet.
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Lidocaine 5% plaster (Versatis® medicated plaster) [PDF file - 115Kb]
Supportive care: specialist medicines
This leaflet provides information on a medicine called lidocaine which is used to treat pain in palliative care and supportive care patients. It is offered as a guide to you and your family. The possible benefits of treatment vary; your doctor, nurse, or pharmacist will be happy to answer any questions you have about your treatment.
Low Grade Appendiceal Mucinous Neoplasm (LAMN II)
A low grade appendiceal mucinous neoplasm is a growth found in your appendix. If this pushes through the appendix wall, this is called a LAMN II. We offer a specialised operation called cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (HIPEC).
Lymphoma clinical nurse specialist service [PDF file - 104KB]
Read about the services that the lymphoma clinical nurse specialists offer, and who your lymphoma clinical nurse specialists are.
This leaflet tells you about the procedure known as a linogram. It explains what is involved and what the benefits and risks are. It may make you think of things you would like to discuss with your doctor.
This leaflet tells you about the procedure known as a loopogram. It explains what is involved and what the benefits and risks are. It may make you think of things you would like to discuss with your doctor.
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Magnetic resonance imaging (MRI)
Magnetic Resonance Imaging (MRI) combines a powerful magnet and radio waves with a computer to produce pictures of any part of the body. The detail in these pictures allows the doctor to see soft tissues such as muscle, fat and internal organs as well as bone.
Multi drug resistant organisms (MDRO) [PDF file - 105KB]
MDRO are bacteria (or germs) that are resistant to at least three different antibiotics. MDRO refers to common organisms such as Escherichia coli, Acineobacter baumanii, Pseudomonas aeruginosa and other organisms that have become resistant to three or more antibiotics.
Supportive care
Methadone is used to treat pain that is difficult to control. The possible benefits of treatment vary; your doctor, nurse, or pharmacist will be happy to answer any questions you have about your treatment. We may be recommending this medicine to be used for a condition it was not originally designed for; so you may find that there are some differences between the hospital and the manufacturer’s information.
This additional information will inform you of the reason(s) why you are taking this medicine and to highlight any other information. This should be read in conjunction with the manufacturer’s patient information leaflet.
Mouth care during radiotherapy to the head and neck
It is very important to keep your mouth clean during radiotherapy to the mouth or throat.
Malleable (semi-rigid) penile prosthesis
The insertion of a malleable penile prosthesis is reserved for patients who have tried all other options.
to regain their erections but they have not worked or have found them unacceptable. It is also used in patients with Peyronie’s disease, priapism and incontinence. A malleable penile prosthesis allows patients to have a firm erection so that they can continue having a sex life.
Managing anxiety about COVID-19
We are being asked to take unusual measures to reduce the rate at which COVID-19 spreads in the population. A near-constant stream of news reports about an outbreak can cause anyone to feel threatened.
Prevent anxiety from increasing by changing your coping strategies.
Information for patients about MRSA treatment prior to line insertion
Infection prevention and control
The Christie leaflet ‘Information for patients about MRSA screening’ is included in this pack. It explains what MRSA is and contains contact details should you require further advice.
How to use micro-enemas [PDF file - 104KB]
You have been prescribed micro-enemas to use before your radiotherapy planning scan, and daily before each radiotherapy treatment, in order to empty your rectum. This allows us to be more accurate in delivering your radiotherapy and reduce the amount of your rectum that we treat. Research has shown that it is beneficial and generally has no serious side effects.
The medical examiner at The Christie
If a patient has died, a medical examiner will review the circumstances of this. Find out the process for when this happens, your right to ask questions and how the Medical Certificate of Cause of Death is issued.
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Naloxegol (Moventig®) [PDF file - 115KB]
Supportive care: specialist medicines
This leaflet provides information on a medicine called naloxegol which is used to treat constipation in palliative care and supportive care patients. It is offered as a guide to you and your family. The possible benefits of treatment vary; your doctor, nurse, or pharmacist will be happy to answer any questions you have about your treatment.
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Your doctor has told you that you have an ovarian mass, tumour or cyst on one or both of your ovaries. The doctor may have said that he/she is concerned about the results of the investigations and that the ovary needs to be removed to see if there is any cancer present.
Find out what to do if you're a new patient at The Christie at Oldham centre, including how to get there and what to do on the first visit.
Radiotherapy to the oesophagus
This booklet is to tell you about radiotherapy to the oesophagus. The Christie is a specialised centre for radiotherapy and patients come for treatments that are not always available at general hospitals. You may have heard about radiotherapy from people you know or from the patients at The Christie. Remember that their information may not apply to you.
Octreotide injection [PDF file - 115Kb]
Supportive care: specialist medicines
Octreotide is used within supportive and palliative care to reduce symptoms from bowel obstruction, or high output of fluid from an ileostomy or a fistula.The possible benefits of treatment vary; your doctor, nurse, or pharmacist will be happy to answer any questions you have about your treatment.
Oral glucose tolerance test [PDF file - 106KB]
Information sheet about the glucose tolerance test which assesses growth hormone levels.
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Photodynamic therapy is a method of treating localised skin abnormalities and cancers. The treatment consists of applying a special cream (ALA) to the skin growth and 6 hours later shining a pure red light on it.
Pseudomyxoma peritonei (PMP) information for patients
Pseudomyxoma peritonei (PMP) is a rare, often slow-growing tumour usually starting from the appendix. It produces large amounts of a jelly-like substance (mucus) that collects in the abdomen.
Prostate follow-up at Hazel Grove Clinic
Information about a follow-up clinic for prostate patients.
PET-CT information for diabetic patients
When you have a PET/CT scan you are given an injection of a radioactive sugar called 18-F fluorodeoxyglucose (18-F FDG). This special form of glucose is taken up by cells in the body, in the same way as normal glucose, from your blood.
Coming to the proton beam therapy centre at The Christie - [PDF file 2,757 kb]
Proton beam therapy is a type of radiotherapy. Protons are small particles found in the middle of atoms. They can be used to give carefully calculated doses of radiation to treat diseases. This is different from standard radiotherapy which uses high energy x-rays. Protons release their energy at an exact point in the body. This means the dose to the tumour can be given very accurately and there is little or no dose to normal tissue past the tumour.
Palatine ambulatory care unit - A guide for haematology and TYA patients
This information booklet has been designed to provide an overview for patients and carers (or companions) about the ambulatory service available as part of the haematology and Teenage and Young Adult (TYA) services at The Christie.
The local phlebotomy clinics benefit those patients who have to travel long distances for routine blood tests at The Christie.
The phlebotomy clinics are run by Christie trained health care support workers to ensure that standards of care and safety are consistent with the main site. The nurse at the local clinic will also be able to access ports, CVC and PICC lines. Your blood sample will be transported back to The Christie so that the results are available to the doctors and nurses involved in your care.
Supportive care
PecFent® is used to treat breakthrough pain (a temporary flare in pain) related to cancer. The possible benefits of treatment vary; your doctor, nurse, or pharmacist will be happy to answer any questions you have about your treatment.
This should be read in conjunction with the manufacturer’s patient information leaflet.
Proton beam therapy and urology cancer
There is a nationally agreed list of possible cancers where proton beam therapy might be useful, mostly in children and young adults. At present, common adult urological cancers such as prostate, bladder and kidney cancer are NOT part of the approved list.
Preparing for radiotherapy to the prostate - OLDHAM
Opening your bowels regularly, especially before the planning scan and each daily treatment, means that the shape of your rectum, and the position of your prostate remain consistent. If your rectum is full with faeces and/or gas during treatment, the position of the prostate can change making it difficult to accurately target the radiotherapy.
Proton beam therapy - Shuttle bus timetable
Proton beam therapy Shuttle bus timetable
Proton Panda Booklet (Age 1-4)
Proton Beam therapy journey booklet for age 1-4
Proton Beam therapy journey booklet - Age 5-8 (Awake)
When you arrive, you will meet the people who are there to look after you. Some of these people are health play specialists. They will help you understand your proton beam therapy and make sure you have lots of fun while you are here.
Proton Beam therapy journey booklet - Age 5-8 (Asleep)
The proton beam therapy centre has play areas, games and fun things to do. When you arrive, you will meet the people who are there to look after you. Some of these people are health play specialists. They will help you understand your proton beam therapy and make sure you have lots of fun while you are here.
Proton Beam therapy journey booklet - Age 9-12
The proton beam therapy centre is a big building which has lots of amazing machines, great activity areas and spaces for you to explore. You’ll soon be an expert in everything to do with proton beam therapy!
Should I have a penile prosthesis, and which one should I choose?
Deciding whether or not to have a penile implant and between a malleable or an inflatable penile prosthesis can seem rather daunting
PeIN (penile intraepithelial neoplasia)
PeIN (penile intraepithelial neoplasia) means there are abnormal cells or growths that can look like ulcers or warts on the surface of the skin of the penis. These abnormal cells or growths may become cancerous and spread into nearby normal tissue if not treated.
Post radiotherapy skin care advice for breast or chest wall treatments, and/or the lymph nodes - [PDF file 92kb]
Now that you have completed your radiotherapy continue to moisturise using the moisturiser you used throughout treatment. If you have not yet used a moisturiser start using an unperfumed one which you know your skin agrees with. If you have a new moisturiser, test it on the back of your hand first to make sure you do not have a reaction to it.
Prostate follow-up at The Christie at Oldham
Your after-care appointments following prostate cancer treatment will be delivered at The Christie at Odham
Planned surgery - A guide for patients and their carers
This booklet provides you with information on having an operation at The Christie. It aims to explain the process of your surgery and answer your questions. Not all of the information may be relevant to you, so a member of staff can direct you to the most helpful parts and answer any questions you may have.
Patient gowns - The Christie at Salford
Find out what you need to know about the patient gown you will be given for treatment at The Christie at Salford and how to return it to us after your treatment is complete.
This leaflet tells you about the procedures known as percutaneous nephrostomy. It explains what is involved and the benefits and risks. It may make you think of things you would like to discuss with your doctor.
This leaflet tells you about the procedure known as pleural drainage. It explains what is involved and what the benefits and risks are. It may help you think of things you would like to discuss further with your doctor.
Percutaneous biliary drainage and stent insertion
This leaflet tells you about the procedures known as biliary drainage and stent insertion. It explains what is involved and the benefits and risks. It may make you think of things you would like to discuss with your doctor.
Psychosexual medicine and therapy service for gynaecological patients - [PDF file 104kb]
The gynaecological psychosexual service provides support for patients and their partners affected by gynaecological cancers whose sexual
function, sexual relationships, intimacy or body image, have been altered by their diagnosis and treatment. It is common for patients to need some support; this may be talking therapy, physical treatments or both
Proton beam therapy for base of skull chordoma
Information sheet about treatment with Proton beam therapy for base of skull chordoma.
Proton beam therapy for base of skull chondrosarcoma
Information sheet about treatment with Proton beam therapy for base of skull chondrosarcoma.
Providing treatment closer to home: a guide for patients [PDF file - 105KB]
Many standard chemotherapy treatments are suitable for administration at one of our SACT Outreach clinics.
Providing treatment closer to home – The Christie at Macclesfield [PDF file - 104KB]
Leaflet for patients about the radiotherapy and SACT services available at The Christie at Macclesfield.
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Information for patients receiving radiotherapy for bone pain [PDF file - 114KB]
This leaflet is a guide for patient for patients receiving radiotherapy for bone pain. Cancer cells can cause thinning areas of the bone. These may be painful and can sometimes even lead to fractures.
Radiotherapy: A guide for patients and their carers
This information is about radiotherapy. The Christie is a specialised centre for radiotherapy, and patients come for treatments that are not available at general hospitals.
This booklet has been written for patients having superficial radiotherapy to the skin. Radiotherapy is the use of exact, carefully measured doses of radiation to treat disease.
Radiotherapy for primary brain tumours (including pituitary and base of skull) [PDF file - 2mb]
This booklet has been written for patients having radiotherapy to the brain. Radiotherapy is the use of exact, carefully measured doses of radiation to treat disease.
Reversal (closure) of loop ileostomy
This booklet has been written to provide you with information about reversal (closure) of your ileostomy. This following information will provide details about what the surgery involves, common problems which can be experienced after reversal and how to manage them.
Rectal cancer – Clinical Complete Response after chemo-radiotherapy
This information sheet can be used alongside information to patients considering chemo-radiotherapy prior to surgery for rectal cancer, and for patients who have completed chemo-radiotherapy and are found to have a Clinical Complete Response on follow-up scans and investigations.
Radiotherapy to a limb for sarcoma
This booklet has been written for patients who are about to receive radiotherapy treatment to a limb (arm or leg) for soft tissue sarcoma or bone sarcoma.
Radiotherapy to the pelvis for sarcoma
This booklet has been written for patients who are about to receive radiotherapy treatment to their pelvis for soft tissue sarcoma or bone sarcoma
Radiotherapy to the spine and para-spinal region for sarcoma
This booklet has been written for patients who are about to receive radiotherapy treatment to their spine or adjacent tissues for soft tissue sarcoma or bone sarcoma.
Robotic Assisted Radical Laparoscopic Prostatectomy (RALP) [PDF file - 226KB]
Postoperative frequently asked questions
Robotic surgery in gynaecology
A camera and specialised instruments are inserted through small cuts in the abdomen (tummy). These are then connected to the specialised arms of the robot.
Receiving intravenous chemotherapy or immunotherapy
The Christie at home service
The purpose of The Christie at home team is to provide specialist treatment and assessment in your own home.
The benefit of this service is an improvement in your experience by receiving the treatment in your own home rather than having to travel to a hospital. We are currently treating patients who live in the Greater Manchester and Cheshire area.
Radiotherapy for symptom control
You have been recommended a short course of radiotherapy by your consultant. The radiotherapy treatment is designed to control specific symptoms and problems, reducing the need for medications and enabling you to do the activities you need and want to do. This is called palliative radiotherapy.
Information about your referral to The Christie
You have been referred from the team at your local hospital to see one of the doctors at The Christie.
The Christie doctors have clinics in a number of other hospitals around Greater Manchester and Cheshire as well as at The Christie.
My Radiotherapy Journey - Awake
Hello, You’re coming for radiotherapy at The Christie – let me show you what will happen.
My Radiotherapy Journey - Asleep
Hello, Come and see what happens when you come to The Christie for radiotherapy.
A right hemicolectomy operation is to remove the right-hand portion of the colon (approximately half the colon). This will include the caecum, ascending colon and a portion of the transverse colon. It is necessary to remove this much because of the way the blood supply supports the colon, rather than because the disease has spread.
Robotic pelvic node dissection for penile cancer (unilateral or bilateral)
This information tells you about what happens when you come for a robotic pelvic lymph node dissection under general anaesthetic. It explains what is involved and the benefits and risks. It may make you think of things you would like to discuss with your doctor
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As a result of illness you may find communicating or eating and drinking is more difficult than before. Speech and language therapy is the process of enabling people to communicate and/or swallow to the best of their ability.
Spinal Cord Compression - what to look out for
This leaflet explains about spinal cord compression (pressure on the spinal cord and its nerves) and how it can be treated.
The specialist upper gastrointestinal (GI) nursing service - [PDF file 106kb]
The upper GI clinical nurse specialist is an experienced nurse who specialises in the care and support of people with cancers that affect the stomach, oesophagus (gullet), gall bladder, pancreas and liver.
Information describing the different forms of sarcoma and how you can recognise these.
Smoking cessation services at The Christie
A free smoking cessation service is now available for all patients, carers and staff at The Christie. If you continue to smoke this may reduce the chance of your treatment being successful.
The Christie Supportive Care Team
For help with pain, palliative care and symptom control.
Information about car parking, directions and first visit to The Christie at Salford Royal.
Squamous cell carcinoma (SCC) is a type of skin cancer that affects the outer layer of the skin. It is the second most common type of skin cancer in the UK. Most people treated for SCC are completely cured with simple treatment.
Stereotactive Ablative Body Radiotherapy (SABR) to lymph nodes
This leaflet aims to help patients and their families understand more about stereotactic ablative body radiotherapy (SABR) for cancer treatment to their lymph nodes.
Surgical oncology unit information (Department 4)
A booklet providing key information about the surgical oncology unit.
Scalp cooling can reduce hair loss caused by chemotherapy. Scalp cooling works by lowering the temperature of the head and scalp immediately before, during and after the administration of chemotherapy.
Shingles (Herpes Zoster) [PDF file - 105KB]
Shingles is caused by the chickenpox (varicella-zoster) virus. It is a painful fluid-filled rash on one side of the body. You may hear the doctor call it herpes zoster as this is its medical name.
The Macmillan cancer information and support centre is next to the café, at the side of reception in The Christie at Oldham. Please call in to ask any questions, to pick up information or just to have a chat. If there is no one available to talk to you or if you just want to leave a comment or ask a question - fill in a card and drop it in the white post box on the cupboard by the office door in the information centre
Stereotactive Ablative Body Radiotherapy (SABR) to the adrenal gland
This leaflet aims to help patients who are going to receive stereotactic ablative body radiotherapy (SABR) for cancer treatment to their adrenal gland. Please read this leaflet alongside The Christie booklet 'Radiotherapy - a guide for patients and their carers'. Your clinical oncologist (specialist doctor) will also discuss the treatment with you.
Men and women with skin cancer who have served in the armed forces may be entitled to a one off payment or regular pension if it is believed the tumour developed as a result of sun exposure during their period of service.
At The Christie at Salford, you will find the MCISC on your right as you walk in, just before the reception desk. Please call in to ask any
questions, to pick up information or just to have a chat. If there is no one available to talk to you, please take one of the staff business cards
and give us a call. We will be able to arrange for you to come in and see us face to face if you wish or we can answer many queries over the
telephone.The MCISC at The Christie at Salford can be contacted on 0161 918 7804.
The specialist sarcoma nursing and physiotherapy service
The service is provided by a team of highly qualified and experienced nurses. They have specialist knowledge and skills in the care and support of patients with sarcoma.
Steroids and your cancer treatment
You have been given this leaflet because you have been prescribed a class of medication called steroids as part of your care. Steroids include tablets called Prednisolone and Dexamethasone. They can be given as tablets or injections into a vein.
Spiritual care - A guide for patients and their carers
Your – or your loved one’s – world view, beliefs or faith can be an extraordinary source of strength and resilience when facing cancer and cancer treatment. At the same time, you may find these beliefs being challenged by what you are going through.
Sick day rules: COVID-19 and the risk and management of adrenal insufficiency
As you will be aware it is important for you to increase your steroid (hydrocortisone or prednisolone) dose if you become unwell. You should already have received information and training in the ‘sick day rules’ and specific advice regarding COVID-19.
Surgery for small bowel neuroendocrine tumours
Small bowel neuroendocrine tumours (NETs) are rare bowel tumours. They start in the neuroendocrine cells of the small bowel. They often develop slowly and don’t always have specific symptoms.
Short synacthen test [PDF file - 113KB]
Information sheet about the short synacthen test which checks if a body is producing enough steroid hormone.
Sleeping with ease [PDF file - 191KB]
Sleep disturbance or ‘insomnia’ can be extremely common during busy, stressful or challenging periods in our life. This may result in you finding it difficult to fall asleep when you go to bed, or ‘broken sleep’ resulting in you waking up after a few hours,
Same day discharge following gynaecological oncology keyhole surgery [PDF file - 110KB]
Information sheet for gynaecological oncology patients who are being discharged the same day following their surgery.
Swallowing exercises for patients receiving radiotherapy to the head and neck [PDF file 1,434KB]
It has been shown that regular practice of these exercises strengthens the swallowing muscles. This can help you to continue eating and drinking for longer during radiotherapy and improves the likelihood of a better functional swallow after treatment.
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Macmillan secondary breast nurse specialist service
The Christie secondary breast care nursing service is a team of highly qualified and experienced nurses who have specialist knowledge and skills in the care and support of patients with secondary breast cancer and locally advanced breast cancer.
The Christie at The Tameside Macmillan unit
The Tameside Macmillan unit benefits those patients who would normally have to travel long distances for treatment at The Christie.
Travelling and car parking for patients and visitors to The Christie
We encourage patients and visitors to travel to and from The Christie using sustainable transport, such as cycling, walking or public transport. You can find details of tram, bus and train services on our public transport pages.
If you're arriving at The Christie by car, the nearest motorway junction is junction 5 of the M60. Use postcode M20 3JJ for car park C at The Christie and postcode M20 3QH for car park D at The Christie.
Information describing how the Hotline service works and how to access it if you're a Christie patient.
The Christie Mobile Chemotherapy Unit - General
The mobile chemotherapy unit benefits those patients who would normally have to travel long distances for treatment at The Christie.
The Christie Mobile Chemotherapy Unit - Trafford
The new chemotherapy unit benefits those patients who currently have to travel long distances for treatment at The Christie.
The Christie Mobile Chemotherapy Unit - Bolton
The mobile chemotherapy unit benefits those patients who currently have to travel long distances for treatment at The Christie.
Thymic epithelial tumours (thymoma & thymic carcinoma)
The thymus is a gland in the chest, behind the breastbone (sternum). It is part of the immune system; making white blood cells lymphocytes) needed to help fight infection. It is usually at its largest size in adolescence then shrinks during adulthood, being replaced with fatty tissue.
Targinact® (Oxycodone/naloxone) tablets [PDF file - 115Kb]
Supportive care: specialist medicines
Targinact® is used to treat pain that is difficult to control. The possible benefits of treatment vary; your doctor, nurse, or pharmacist will be happy to answer any questions you have about your treatment.
Tapentadol (Palexia®) [PDF file - 115Kb]
Supportive care: specialist medicines
Tapentadol is used to treat pain that is difficult to control. The possible benefits of treatment vary; your doctor, nurse, or pharmacist will be happy to answer any questions you have about your treatment.
Going home with a temporary catheter
Many patients will go home with temporary catheter after surgery. Before you are discharged we will give you all of the catheter supplies that you need and explain how to care for your catheter. We will also arrange for a district nurse to contact you at home should you need additional support.
Thyroid cancer multi-disciplinary team (MDT)
Following your cancer diagnosis, the doctors looking after you have referred you to The Christie for consideration of further treatment. It is our job to consider all the relevant information and after discussion with you to recommend a plan of action for treatment.
This leaflet tells you about the procedure known as a tubogram. It explains what is involved and the benefits and risks. It may make you think of the things you would like to discuss with your doctor.
The Christie mobile chemotherapy unit - Eccles
Providing chemotherapy closer to home
Temozolomide with radiotherapy
Please read this information sheet in conjunction with the leaflet 'Temozolomide with Concurrent Radiotherapy to the Brain followed by Temozolomide Monotherapy'. This information sheet is intended to provide additional information on how to take the tablets you have been prescribed.
The Complex and Recurrent Gynaecological Oncology Service - CAReGO [PDF file - 104kb]
The CAReGO service supports women with gynaecological cancers that are at an advanced stage. You may be referred to The CAReGO team for specialist support with managing your disease. We can help you at any time before, during or after anti-cancer treatment.
Transition from Royal Manchester Children’s Hospital to The Christie
Moving away from the team you know at Royal Manchester Children’s Hospital may be daunting. We hope that by involving you in the transition process, you will feel more confident and happier about the move.
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Understanding steroids: guide for patients with brain tumours
This booklet explains how steroids can help when you have a brain tumour. Tumours inside the skull are growing in a confined space and can cause pressure inside the skull.
Ultrasound-guided superficial biopsy
A biopsy is a procedure where a small piece of tissue is taken from the body. This can then be looked at under a microscope to tell what kind of cells are in the tissue.
Ultrasound uses sound waves to look at tissues inside the body. The radiologist (radiology doctor) doing the biopsy will use ultrasound to guide a needle into the right place to take a sample.
A superficial biopsy is where the area to be biopsied lies just under the skin. Superficial biopsies can be done anywhere on the body, but the most common areas are the neck, armpits and groins.
You will already have had a stent inserted through your urostomy into one or both of your kidneys, which drains urine into a bag. The stents require changing at 3 - 6 monthly intervals and this is referred to as ‘ureteric stent exchange’. It means your present stents are replaced with a new stent.
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This booklet is written for patients who are having vaginal brachytherapy after a hysterectomy for cancer of the womb. The doctor and/or nurse will discuss your treatment with you and explain anything you do not understand. Please share this booklet with your family and friends. They can have a role in helping you. It’s important that they feel well informed and understand what is happening. If you would
like more detailed information about your own treatment, please ask the staff.
Vancomycin-resistant enterococci (VRE) [PDF file - 106KB]
Enterococci are a type of bacteria always found in the human body. All of us have this type of bacteria in our intestines (gut) and in some women they are also present in the vaginal area and the urinary tract. Enterococci are also often found in the environment.
Video Endoscopic Inguinal Lymph Node Dissection (VEILND) for penile cancer
Information sheet about VEILND which is a 'keyhole surgery' operation to remove a chain or group of lymph nodes, rather than a single lymph node, together with the surrounding body tissues in the groin).
This leaflet tells you about the procedure known as varicocele embolisation. It explains what is involved and what the benefits and risks are. It may help you to think of things that you would like to discuss with your doctor.
This leaflet tells you about the procedure known as a venting gastrostomy and explains what is involved and what the benefits and risks are. It may help you think of things you would like to discuss with your doctor.
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We want you to be as comfortable as possible while you are being treated at The Christie. This information sets out to tell you in general what to expect. It cannot cover everything you may want to know, so if there is anything that worries you, please ask.
You are entitled to a wig if your treatment causes hair loss. Your nurse, doctor or ward receptionist will give you a wig prescription form. Please fill in the form and give it to the salon staff when you come for your appointment.
Water deprivation test [PDF file - 113KB]
Information sheet about the water deprivation test which is used to diagnose or exclude Diabetes Insipidus