What is Breast Radiation? We Teach You Everything
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- Опубликовано: 9 июл 2024
- We teach you about radiation for breast cancer. Learn about the types of breast radiation and how radiation reduces the risk of cancer “local recurrence.”
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Questions for your Radiation Oncologist and Breast Surgeon:
1. What are the risks and benefits of radiation?
2. What different radiation options do I have?
3. Can you explain what I should expect during and after radiation?
4. What are the long-term side effects?
5. How can I avoid radiation altogether?
What is Breast Radiation? What is a “Local Recurrence?”
Radiation therapy is very effective at killing cancer cells while sparing the normal surrounding tissue. This is only one component of a comprehensive treatment plan. Breast radiation is generally performed after your tumor has been surgically removed. If you are going to have a lumpectomy surgery to remove your breast cancer, then you will most likely need radiation to reduce the chance cancer will grow back in the surgical area.
Quite simply, radiation reduces the risk of “local recurrence” in the area where the tumor was surgically removed or in nearby areas where the cancer is at risk for recurring in the future. When a “local recurrence” of your cancer does occur, it is a threat to your life. When indicated, radiation reduces this risk of local recurrence, and as a result, may increase your chance of surviving breast cancer.
Is “Whole Breast Radiation” the standard of care?
Breast radiation is most commonly offered to women who undergo a breast conserving lumpectomy for early stage breast cancer. “Whole Breast Radiation” is the most utilized and researched form of radiation after a lumpectomy and is generally considered the “standard of care.” For many women older than 50 with favorable early stage cancer, a cutting-edge, “shorter course” of whole breast radiation can be administered over 4 weeks rather than 6 weeks.
We outline below some other techniques of delivering radiation for breast cancer.
General Radiation Treatment Expectations:
Breast radiation is usually performed as an outpatient procedure within a dedicated radiation center. Depending on the patient and the course of treatment, it is generally well tolerated. A few facts about radiation therapy are listed below.
Expectations during whole breast radiation
The actual treatment takes about 15 minutes (although you will be at the appointment a little bit longer than that to change clothes before and after your treatment)
Radiation does not hurt when administered
Treatments are daily, Monday through Friday for about 4 to 6 weeks
You can work while undergoing radiation treatment
Truths about Radiation:
Breast radiation does not make you feel ill
There is no hair loss with radiation to the breast
You will not become “radioactive” from treatment
Side Effects of Radiation Therapy:
Your breast and skin can become irritated and tender
Some constricting or shrinkage of the treated breast and surrounding tissue may occur
Breast reconstruction and implants can be affected
General fatigue is common
Your breast and ribs can be sore for an extended period of time
You cannot have radiation if you are pregnant
There is a small risk of increasing coronary heart disease
There are very rare cancers that can be caused by breast radiation
Other types of breast radiation:
Breast Brachytherapy
This shorter course (1 week) of radiation is applied directly to the area of surgery using devices made for this purpose. The results are promising for women over 50 years old with favorable tumors that undergo a lumpectomy. Not everyone is a candidate for brachytherapy. Review our video lesson on “Breast Brachytherapy“ to learn more.
Intra-Operative Radiation Therapy
Intra-Operative Radiation Therapy (IORT) is an evolving form of radiation therapy available at some hospitals. It is currently appropriate for only a small proportion of patients with early stage breast cancer. The benefit is that the radiation is administered and completed during the lumpectomy surgery in the operating room.
Post-Mastectomy Radiation Therapy
Post-mastectomy radiation therapy is the term for applying radiation to the area of the mastectomy and lymph nodes, usually performed about 4 weeks after surgery. It is generally recommended for those who are at a high risk to have a local recurrence of their cancer.
Palliative Radiation Therapy
Palliative radiation is used to treat the symptoms of cancer growing in the breast or within other parts of the body. An example is someone who has severe back pain and leg weakness from breast cancer in their spine. Palliative radiation to the spine can help alleviate these symptoms.
God is in control I pray he heals everyone in JESUS CHRIST NAME
Amen 🙏🏽
Can’t thank you enough for all these videos. I have just been diagnosed and your videos are educating me on what I can look forward to which has alleviated a lot of my fears.
Thank you so much for the honesty, It really calms a person with breast cancer to have all the facts in a language they can UNDERSTAND!! TY
Thank you for the kind comments. Your experience is the exact reason we created the Breast Cancer School for Patients. It is the first video-based platform for cancer that teaches all the complex concepts that patients face. Make sure to visit www.breastcancercourse.org if you have not already. The RUclips videos are all organized in the sequence you will experience them on the website. It is all free and created for everyone.
Your explanations are so clear and most of it your voice tone is calming and reassuring 🙏🏽
Learn a lot about your video since I’m a breast cancer survivor I also had radation I have gotten good results no chemo this year
Succinct information about a troublesome and scary diagnosis, along with the “cures”.. Thank you, Doctor. This for me has been a HUGE learning curve!
Your Voice Is So Calming And You Put My Mind At Ease And So Informative Thank You
God bless you. you have educated me through my journey.
Thank you for this video. I am about to undergo a lumpectomy and undergo 30 days of radiation therapy. It's a scary time but im a fighter
Same with me 😥
Me too
Thank you
Thank you so much
You are really calming me down, the radiation is the route I want to go, thank you so much
Have you started radiation yet?
How are you doing. I'm about to start my treatment
Binging on your videos. Thank you so much for calming my fears.
It is gratifying to learn this information is helpful. Good luck in your journey.
This was so informative
Thank you Very much doctor
Thanks for the informative video, it's helpful to me
thank you very much for the information. I learned a lot. well explained.
Radiation does not make you radioactive, that's funny. Thank you for the information. It makes things clear.
You should talk about left breast radiation and possible heart and lung damage with photon radiation
Great suggestion !
I too will be having that area radiated.....left breast .....i,m very concerned about it harming my lung and heart
@Jacqueline Linich Thank you for suggesting this topic. I found out on July 6, 2022 that I have Invasive Ductal Carcinoma. My oncologist has already informed me that I will need radiation after my surgery on hopefully only my left breast.
@@maggieg5719 My mother was diagnosed in late June with Stage 1, grade 2 Breast Cancer and her lumpectomy is tomorrow. The early days were the toughest, but with a plan in motion and good doctors, there is most definitely light at the end of the tunnel. I pray that everything goes well during your procedures. You WILL beat this! ❤️
@@OhGummy Thank you!!! I was diagnosed with Stage 2 Invasive Ductal Carcinoma, ER+, PR+, HER2-, grade 3. I found out Friday that my MRI showed nothing but the original tumor!!! I was freaking out with happiness!!! Just before that, I found out I tested NEGATIVE for BRCA1 and BRCA2!!! So happy!!! My lumpectomy is scheduled for August 8th. I’m looking forward to it. I just want things to keep rolling, so I can get passed this. BTW, I had a hysterectomy because I had fibroids and endometriosis. Rather than suffer through hot flashes (day and night), headaches (which I normally never get), etc., I chose to start taking an estrogen supplement. The minute my gyno found out about my cancer and it being ER+, he had me stop it! So now on top of everything else, I’m having hot flashes about every hour! Fortunately, the headaches have stopped. If I would have known then what I know now, I never would have taken the estrogen. My Breast Specialist (surgical oncologist) told me from day one, that that’s what caused my cancer. So ladies going through menopausal symptoms, please do not take estrogen supplements. Please try to power through the symptoms. Gummy, good luck to your mom. You are both fortunate to have each other!
If you have a lumpectomy and radiation for 6 weeks and your cancer was grad 0 non invasive why would you need to take a hormone receptor pill
Thank you so much doctor. I'd love to know more about the risks to lungs and heart please.
Thank you so much . For now i am not in fear anymore. Thanks.
The information provided has given me a sense of peace.
Thank you for the feedback. Make sure you visit the complete Breast Cancer School for Patients. Same video lessons, but organized in the order of topics you will experience them. www.breastcancercourse.org/
Music in the background is rediculous. It makes it hard to hear what he's saying.
Hi Dr. Williams! Thank you very much for your very informative videos about cancer, chemotherapy, radiation therapy & hormonal therapy. I have a question doctor Williams.......my cousin is 80 years old, she had invasive solid papillary carcinoma with mucinous feature. She had lumpectomy, the tumor was 1.6 cm & all 5 lymph nodes taken from her armpit, the biopsy results were all negatives. Does she need to have a radiation therapy? She refused to have radiation, she chose Hormonal therapy. Did she make the right decision? I love to watch your videos.
I'm stage three breast cancer getting ready to start five weeks of radiation soon
Am getting radiation
Good information better than my actual doctor!
Thank you for the feedback! The more you know, the better cancer care you will achieve. Good luck with your journey.
gpooh55x my doctor 👩⚕️ didn’t explain any thing to me. I took it in the biggest hospital. In the USA 🇺🇸
Now I am under treatmen of breast cancer stage 2,but my doctor said I only need 4 times cemmoterapy and no need radiation...
And in the same time my friends have 6 Times cemmoterapy and 15 times radiation,i don't understand why?
Ask your doctor.
I hope all the doctors explain the radtion treatment like you . Ihad bad experience with doctors
It is a long process. Go to the Breast Cancer School for Patients and take our specific lesson on “”Will I Need Radiation “. www.breastcancercourse.org/will-i-need-radiation/ I hope it helps.
@@BreastCancerSchoolforPatients I already finished long time ago unfortunately
I’ve been told I will be having accelerated whole breast radiation therapy higher dose over 5 days! Concerned…apparently this is at higher dose.
能有字幕吗？⊙ω⊙
I had full breast radiation. I had a 73mm tumour. Why is it so tiring?
With all the AI and all the technology why isn't their treatment at home? Besides driving an hour or two for treatment. They really need like they had back in the day. Have the doctor or nurse does at home house calls.
Mine didnt want to do radiation with onco score of 30 and k167 of 32 he said that there is a study woman over 70. Dont need it. Couldnt take harmone pill. He wanted me to take 2 more pills so i can tolerate one. So ridiculous. Went to different dr am getting rafiation now. Six month songram and mamo shows a cyst 1.1 mm. The new dr said you will need biopsy to be sure no cancer. I am so mad at first radiologist. I wish i had done mastecomy. Because i am over 70 i should die so stupid
When they will find the cure for breast cancer I wonder 🤔🤔
They never will or if they have it they will never release it . It’s all about making money off of these cancer treatments.
@@ggGG-il4hp I agree!
No one talking about the radtion side effects ithought it’s easy treatment. But it’ has worst side effect
😞
@M M I wish you would elaborate. I was just told I have Invasive Ductal Carcinoma, ER+, PR+, HER2- in my left breast, on July 6, 2022. My oncologist told me I will need radiation after my surgery. Won’t know until after surgery if I need chemo. Thank you in advance if you provide more information. Much appreciated.
@@maggieg5719 hi Maggie I have the same as you. Did you end up having radiation?
Yes , but my surgeon left cancer behind so that it can recurre
Hi doc, will be doing breast radiation soon.I will be doing mastectomy shortly without reconstruction. Thank
Radiation makes huge money for radiologists
Radiation terrifies me.
Me too
@@michellewheatley4406 i dodged that bullet. Thank goodness! I had a very small dcis with suspicion of microinvasion. My surgeon presented my cast to a tumor board and all of the surgeons and radiologists aaid they wouldnt recommend radiation. I still followed up with a radiologist after that and after he went on about the benefits of radiation, i said, i i were your wife or your daughter would you recommned radiation in my case? He said no, he would just make sure to get a mammo every 6 months to keep an eye on it. So thats what im going with.
@@YT-ml8gz aw ok..
We need to see how they do it 😡😡😡😡 talkin is not enough.