Treatment FAQ

how to set up for a breat radiation treatment

by Toby Keebler III Published 3 years ago Updated 2 years ago
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How is radiation therapy for breast cancer delivered?

Radiation therapy for breast cancer may be delivered through: 1 External radiation. A machine delivers radiation from outside your body to the breast. This is the most common type of... 2 Internal radiation (brachytherapy). After you have surgery to remove the cancer, your doctor temporarily places a... More ...

What size bra should I wear during radiation therapy?

You may even want to wear a size or two larger than what you normally wear in order to give your skin some room to breathe. Opt for soft bras with wide straps: if you are undergoing upper body radiation, you may find your bras to be uncomfortable during radiation.

What do you need to know about breast radiation therapy?

Radiation Therapy to the Breast or Chest Wall 1 About Radiation Therapy. Radiation therapy uses high-energy beams to treat cancer. 2 Your Role on Your Radiation Therapy Team. You will have a team of healthcare providers working... 3 Simulation. Before you begin your treatment, you will have a treatment planning procedure called...

What should I wear during radiation therapy?

Wear clothes that are very soft and loose against the treated skin: depending on what body parts are undergoing radiation therapy, you may be highly sensitive, and soft fabrics will be less irritating. You may even want to wear a size or two larger than what you normally wear in order to give your skin some room to breathe.

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How do I prepare for breast radiation?

Five tips for coping with breast radiotherapyPrep the area. It's important to moisturise during and after treatment, but you can also help prevent redness and soreness by moisturising the area a few weeks before you start. ... Cover the whole area. ... Avoid hot baths. ... Take it easy. ... Give it time.

What happens at first radiation appointment for breast cancer?

This appointment will last approximately one to two hours. During this appointment, the doctor will identify the exact fields on your body to treat with radiation. This involves lying on a table while the radiation therapist marks the field with small dots made with permanent ink.

How long is each radiation session for breast cancer?

Delivery of the radiation may last only a few minutes, but expect to spend 15 to 45 minutes for each session, as it can take several minutes to set you up in the exact same position each day. This step ensures precise radiation therapy delivery. Radiation therapy is painless.

What should I do before my first radiation treatment?

You can expect these steps before beginning treatment: Meeting with your radiation oncologist. The doctor will review your medical records, perform a physical exam, and recommend tests. You will also learn about the potential risks and benefits of radiation therapy.

How many days a week is radiation therapy?

Most patients get radiation treatments daily, 5 days a week (Monday through Friday) for 5 to 8 weeks. Weekend rest breaks allow time for normal cells to recover.

Do you lose weight during radiation treatment for breast cancer?

Many cancer patients lose weight unexpectedly during radiation therapy because they struggle with side effects caused from treatment. Maintaining proper nutrition during radiation therapy can increase your chances of successful treatment and improve your quality of life during and after treatment.

Is breast radiation painful?

The radiation treatment procedure is painless, but it may cause some skin discomfort over time. When treating early-stage breast cancer, radiation therapy is often given after surgery. Surgery is done to remove the cancer, and radiation is done to destroy any cancer cells that may remain after surgery.

What time of day is best for radiation therapy?

New research from Roswell Park Comprehensive Cancer Center, to be presented at the American Association for Cancer Research (AACR) Annual Meeting 2019 in Atlanta, reports that administering radiation treatments in the morning as opposed to later in the day can significantly reduce severity of mucositis and its related ...

Can you wear clothes during radiation?

Wear loose, soft, cotton clothing over the area being treated. Avoid stiff or starched clothing near the area being treated. Do not put anything but mild soap (such as Dove) and lukewarm water on the skin in the treated area, unless the doctor or nurse says that it is safe to do so.

Can I drive myself to radiation treatments?

Unless you feel ill, you can typically drive yourself to treatment. In fact, many patients are able to work full-time during their treatment.

Can you wear a bra during radiation?

Wear loose-fitting cotton clothing and undergarments in the treatment area. Avoid tight clothing that will rub up against your skin, including underwire bras.

How long does a radiation session take?

In most instances, treatments are usually spread out over several weeks to allow your healthy cells to recover in between radiation therapy sessions. Expect each treatment session to last approximately 10 to 30 minutes.

How to protect yourself from radiation?

Talk with others. When people try to protect each other by hiding their feelings, they can feel very alone. Talking can help the people around you know what you’re thinking. It might help to talk about your feelings with someone you trust. You may choose your spouse or partner, a close friend, family member, chaplain, nurse, social worker, or psychologist. You may also find it helpful to talk to someone who’s going through radiation therapy, or a cancer survivor or caregiver who has been through a similar treatment. Through our Patient-to-Patient Support Program, you have a chance to speak with former patients and caregivers. To learn more about this service, please call 212-639-5007.

What is the radiation called after breast cancer?

After that, you may receive an extra dose of radiation called a “boost.”. The boost directs radiation to the area where the lump or cancer cells were located, instead of at your whole breast. Before your boost, your radiation oncologist will make more skin markings with a felt-tipped marker to outline the boost field.

How does radiation therapy work?

Radiation therapy uses high-energy beams to treat cancer. It works by damaging the cancer cells and making it hard for them to reproduce. Your body is then naturally able to get rid of these damaged cancer cells. Radiation therapy also affects normal cells.

What do you need to wear for a simulation?

For your simulation, you may need to get undressed from the waist up and change into a hospital gown. You should keep your shoes on. If you wear a head covering, such as a wig, turban, or cap, you may have to remove it.

How long does it take for a breast to feel swollen?

Your breast or chest may feel heavy or swollen. You may also have some shoulder stiffness on your affected side. These sensations may begin within the first few days of treatment and go on for many months after your treatment is done. Below are suggestions to help you reduce this discomfort.

Does radiation therapy affect normal cells?

Radiation therapy also affects normal cells. However, your normal cells are able to repair themselves in a way that cancer cells can’t. During treatment, a machine will aim beams of radiation directly to the tumor. The beam passes through your body and destroys cancer cells in its path.

Can you have radiation before surgery?

You can have it to your breast or chest wall and to the lymph nodes near your collarbone or under your arm. Back to top.

What is radiation therapy?

Radiation therapy (also called radiotherapy) uses high-energy rays to kill cancer cells. Unlike chemo, which affects your whole body, radiation affects cells only in the part of the body that is being treated—in this case, the breast or armpit area. You might be wondering why you need radiation, if you already had chemo.

How long does it take for radiation to start?

Think of radiation like weed killer, targeting specific things below the surface that can’t be seen. You’ll usually start radiation three to four weeks post-surgery.

How long does radiation therapy last?

It is administered daily by a radiation oncologist (yes, you now need a radiation oncologist in addition to your medical oncologist) at a radiation center for four to six weeks. You’ll either get external beam radiation, where cancer-killing rays are delivered by a large machine, or internal radiation, a newer treatment ...

Is radiation painful?

While there is nothing inherently painful about the radiation treatment itself, it can do a number on sensitive skin, causing sunburn-type irritation; red, dry, tender, or itchy skin; breast heaviness; and a bruised appearance.

Can radiation cause rashes?

Seam less bra. Radiation can cause rashes and irritation, but I found that seamless bras made with soft fabric, like this Modern Micro Seamfree Bralette and Matte & Shine Seamfree Bralette helped with a lot of the redness and tenderness that can accompany radiation.

Breast Cancer Wardrobe Guide 101

Our good friend and overall lady boss, Christie Mangir, shares her ultimate wardrobe list for prepping for breast cancer treatments, surgeries and other related procedures. She is the ultimate fighter and has made it her professional and personal mission to give back to the breast cancer community.

Chemotherapy Infusions

My first stage of treatment was chemotherapy. A few weeks prior to starting my infusions, I had a minor surgery to place a port in the upper right part of my chest. On infusion day, I would be hooked up to an IV via my port for five-six hours at a time.

Surgery

A lot of my prep for my surgery actually revolved around clothing. I had a double mastectomy with immediate reconstruction, an intense eight hours which involved removing all of my breast tissue, lymph nodes from my armpit, and inserting implants underneath my pectoral muscle.

Radiation Therapy

A few months after my surgery, I started radiation therapy. For me, this stage was much easier than chemo and surgery. However, one of the most challenging parts of radiation had to do with my wardrobe. After the first few weeks of radiation, my irradiated skin became highly sensitive, and eventually, it was burned and peeling.

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Overview

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Radiation therapy for breast cancer uses high-energy X-rays, protons or other particles to kill cancer cells. Rapidly growing cells, such as cancer cells, are more susceptible to the effects of radiation therapy than are normal cells. The X-rays or particles are painless and invisible. You are not radioactive after treatment, so it i…
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Why It's Done

  • Radiation therapy kills cancer cells. It's often used after surgery to reduce the risk that the cancer will come back. It can also be used to provide relief from pain and other symptoms of advanced breast cancer.
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Risks

  • Side effects from radiation therapy differ significantly depending on the type of treatment and which tissues are treated. Side effects tend to be most significant toward the end of your radiation treatment. After your sessions are complete, it may be several days or weeks before side effects clear up. Common side effects during treatment may include: 1. Mild to moderate fatigu…
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How You Prepare

  • Before your radiation treatments, you'll meet with your radiation therapy team, which may include: 1. A radiation oncologist,a doctor who specializes in treating cancer with radiation. Your radiation oncologist determines the appropriate therapy for you, follows your progress and adjusts your treatment, if necessary. 2. A radiation oncology medical...
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What You Can Expect

  • Radiation therapy usually begins three to eight weeks after surgery unless chemotherapy is planned. When chemotherapy is planned, radiation usually starts three to four weeks after chemotherapy is finished. You will likely have radiation therapy as an outpatient at a hospital or other treatment facility. A common treatment schedule (course) historically has included one ra…
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Results

  • After you complete radiation therapy, your radiation oncologist or other medical professionals will schedule follow-up visits to monitor your progress, look for late side effects and check for signs of cancer recurrence. Make a list of questions you want to ask members of your care team. After your radiation therapy is completed, tell your medical professional if you experience: 1. Persiste…
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Clinical Trials

  • Explore Mayo Clinic studiesof tests and procedures to help prevent, detect, treat or manage conditions.
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Ct Simulation

Treatment Planning Process

  • After simulation, details are reviewed by the medical dosimetrists and physicists. They calculate the exact dose and course of treatment with the goal of killing the cancer while limiting dose to healthy tissue. They use treatment planning software to help them design the best possible treatment plan. The dosimetrist and physicist work closely with your radiation oncologist to crea…
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Quality Assurance

  • After the radiation oncologist approves your treatment plan the physicists will check that your specific plan works on the treatment machine it was created for. Once this is done you can start your radiation treatments.
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Set-Up

  • You will be placed on the treatment table in the same position you were in for your simulation. The therapists will align your tattoos to the lasers in the treatment room and take a set of X-ray films. These films will be matched with the simulation films to make sure the treatment is given to the right area. You may be asked to move your body to a...
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Daily Treatments

  • Treatments are often given once a day, Monday through Friday, for a number of weeks. Sometimes, twice daily radiation treatments will be done. It takes about 5 minutes to get your radiation treatment, but you will likely be scheduled in a 15-30 minute appointment time. With set up and treatment you will be in the department for about an hour each day. This allows time for …
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On-Treatment Visit

  • Your radiation oncologist will meet with you at least once a week. The visit will take place just before or after your treatment is given. These visits give your provider the chance to see how you are doing, answer any questions you have, and plan future treatments. If you are having a problem, you do not have to wait until your next on-treatment visit. Instead, you can ask to be se…
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End-Of-Treatment Visit

  • A day or two before your last treatment, you will have your final on-treatment visit with your provider. During this visit, they will talk to you about follow-up care and may do an exam.
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Follow-Up Care

  • Follow-up appointments are often scheduled at 4 and 12 weeks after your radiation treatments are done. You may be asked to have a scan (CT, PET, or MRI) before this visit. Your provider will see how you are doing and give you information on continued follow-up care. It is important to go to your follow-up care appointments so that any radiation-related problems can be treated early. …
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