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Radiation for Breast Cancer. Two main types of radiation therapy can be used to treat breast cancer: External beam radiation: This type of radiation comes from a machine outside the body. Internal radiation (brachytherapy): For this treatment, a radioactive source is put inside the body for a short time.
What type of radiation is used to treat breast cancer?
Which areas need radiation depends on whether you had a mastectomy or breast-conserving surgery (BCS) and whether or not the cancer has reached nearby lymph nodes. If you had a mastectomy and no lymph nodes had cancer cells, radiation is focused on the chest wall, the mastectomy scar, and the places where any drains exited the body after surgery.
Which areas of the breast need radiation therapy?
Lumpectomy combined with radiation therapy is often referred to as breast conservation therapy. In clinical trials comparing lumpectomy with and without radiation therapy, the addition of radiation therapy resulted in significantly decreased rates of breast cancer recurrence and proved to be as effective as having the entire breast removed.
What is breast conservation therapy with radiation therapy?
Instead of aiming radiation beams from outside the body, a device containing radioactive seeds or pellets is placed into the breast tissue for a short time in the area where the cancer had been removed (tumor bed).
How is breast cancer radiation therapy performed?

What happens to your breast during radiation?
In time radiotherapy can cause the breast tissue to change shape or shrink in size a little. This can happen to your natural breast tissue or a reconstructed breast. After radiotherapy, the breast might feel hard and less stretchy. This is due to a side effect called radiation fibrosis.
What do breasts look like after radiation treatment?
After radiotherapy, the skin of the breast may change colour. It may become darker with a blue or black tinge. It may also be more sensitive. It is important to protect the area from strong sunlight by covering up with clothes or using a sun cream with a high sun protection factor (SPF).
How long does it take for your breast to heal after radiation?
Most skin changes get better within a few months. Changes to the breast tissue usually go away in 6 to 12 months, but it can take longer.
Does breast radiation shorten your life?
Two studies have found that women diagnosed with early-stage breast cancer treated with a shorter whole-breast radiation schedule after lumpectomy have fewer side effects and better quality of life than women treated with the longer, traditional radiation schedule.
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.
Do you lose weight during radiation?
Many cancer patients lose weight unexpectedly during radiation therapy because they struggle with side effects caused from treatment.
What can you not do during radiation treatment?
Radiation therapy also creates toxins in your body that decrease digestive enzymes needed to digest food. Unpeeled raw fruits and veggies contain bacteria that could increase the risk of infection in the gastrointestinal tract. They're also foods that are high in fiber, which may be hard to digest during treatment.
What is the best cream for breast radiation?
Aquaphor® is often recommended to patients for general skin care. (Your health care team will give you a sample and a coupon for Aquaphor). If your skin becomes dry or itches and your doctor approves, apply the product to the treatment areas after radiation.
What does your skin look like after radiation treatment?
Sometimes radiation therapy can cause the skin on the part of your body receiving radiation to become dry and peel, itch (called pruritus), and turn red or darker. Your skin may look sunburned or become swollen or puffy. You may develop sores that become painful, wet, and infected. This is called a moist reaction.
Is radiation worse than chemo?
The radiation beams change the DNA makeup of the tumor, causing it to shrink or die. This type of cancer treatment has fewer side effects than chemotherapy since it only targets one area of the body.
What can I expect after my first radiation treatment?
The most common early side effects are fatigue (feeling tired) and skin changes. Other early side effects usually are related to the area being treated, such as hair loss and mouth problems when radiation treatment is given to this area. Late side effects can take months or even years to develop.
What are the disadvantages of radiation therapy?
What are the disadvantages? Radiotherapy can cause side effects, including tiredness, sickness and runny poo (diarrhoea). If you have chemoradiotherapy, you may get side effects from the chemotherapy.
What is radiation therapy for breast cancer?
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.
What is the most common type of radiation therapy used for breast cancer?
External radiation. A machine delivers radiation from outside your body to the breast. This is the most common type of radiation therapy used for breast cancer.
What is lumpectomy combined with radiation?
Lumpectomy combined with radiation therapy is often referred to as breast conservation therapy . This type of treatment is as effective as having all the breast tissue removed (mastectomy). In special situations where the risk of recurrence is very low, your doctor may also discuss the option of avoiding radiation after a lumpectomy.
What type of radiation is used after a lumpectomy?
Radiation to the entire breast. One of the most common types of radiation therapy after a lumpectomy is external beam radiation of the whole breast (whole-breast irradiation).
What is the best treatment for breast cancer after lumpectomy?
Radiation after lumpectomy. If you're having an operation to remove the breast cancer and leave the remaining breast tissue intact (lumpectomy or breast-conserving surgery), your doctor may recommend radiation after your procedure to kill any cancer cells that might remain.
How to reduce the risk of breast cancer after surgery?
Radiation therapy is an effective way to reduce your risk of breast cancer recurring after surgery. In addition, it is commonly used to ease the symptoms caused by cancer that has spread to other parts of the body (metastatic breast cancer).
What is the treatment for breast cancer?
Radiation therapy. Radiation therapy. External beam radiation uses high-powered beams of energy to kill cancer cells. Beams of radiation are precisely aimed at the cancer using a machine that moves around your body. Radiation therapy for breast cancer uses high-energy X-rays, protons or other particles to kill cancer cells.
What is the burden of breast cancer in black communities?
The burden of breast cancer in Black communities exists at each phase in the complex breast cancer care trajectory—from screening and follow-up of abnormal findings, to treatment initiation and completion. These disparities are fueled and compounded by the racial wealth gap, which leads to frustrating delays in receipt of diagnosis and treatment.
Why are there racial disparities in breast cancer?
The persistence of racial disparities in breast cancer is primarily caused by a lack of access to health care , but even when policies are implemented that improve mammography screening, insurance availability disparities still exist —which is why more studies highlighting the role of genetics and tumor biology in the propagation of the disease need to be done.
What is precursor breast cancer?
The term used to describe precursor breast cancer is ductal carcinoma in situ (DCIS). DCIS means the cells that line the milk ducts have become cancerous, but those cells have not yet invaded the surrounding tissues. DCIS is often discovered on mammograms.
What are the benefits of breast cancer support networks?
These local networks not only help you deal with your feelings and the lifestyle changes ahead, but can also help prepare you for many of the practical things that you and your family might need to do—like finding childcare and securing financial support such as benefits and sick pay.
What are the factors that influence the disparities in breast cancer?
Factors like social determinants to genetics and tumor biology influence the disparities, but do not explain them completely. They also do not explain one of the grimmest statistics: Black women are twice as likely to have triple-negative breast cancer, a more rare but more aggressive form of breast cancer that does not respond to hormonal treatment.
How many scenarios are there for breast cancer?
Breast cancer is typically detected in one of three scenarios:
How are breast cancers classified?
Breast cancers are further classified by the presence or absence of hormone receptors (hormone receptor status).
What is the best treatment for radiation?
One way to reduce side effects is by using radioprotective drugs, but these are only used for certain types of radiation given to certain parts of the body. These drugs are given before radiation treatment to protect certain normal tissues in the treatment area. The one most commonly used today is amifostine. This drug may be used in people with head and neck cancer to reduce the mouth problems caused by radiation therapy.
What is the most common drug used for radiation therapy?
The one most commonly used today is amifostine. This drug may be used in people with head and neck cancer to reduce the mouth problems caused by radiation therapy. Not all doctors agree on how these drugs should be used in radiation therapy. These drugs have their own side effects, too, so be sure you understand what to look for.
How long does it take for radiation to show up in the brain?
Radiation to the brain can also have side effects that show up later – usually from 6 months to many years after treatment ends. These delayed effects can include serious problems such as memory loss, stroke-like symptoms, and poor brain function.
How long does it take for radiation to cause side effects?
Late side effects can take months or even years to develop. They can occur in any normal tissue in the body that has received radiation. The risk of late side effects depends on the area treated as well as the radiation dose that was used. Careful treatment planning can help avoid serious long-term side effects.
How long do side effects last after radiation treatment?
Early side effects happen during or shortly after treatment. These side effects tend to be short-term, mild, and treatable. They’re usually gone within a few weeks after treatment ends. The most common early side effects are fatigue (feeling tired) and skin changes. Other early side effects usually are related to the area being treated, such as hair loss and mouth problems when radiation treatment is given to this area.
How long does radiation side effects last?
Remember that the type of radiation side effects you might have depends on the prescribed dose and schedule. Most side effects go away within a few months of ending treatment. Some side effects may continue after treatment ends because it takes time for the healthy cells to recover from radiation. Side effects might limit your ability ...
What are the side effects of brachytherapy?
If your treatment includes brachytherapy (internal radiation implants), you might notice breast tenderness, tightness, redness, and bruising. You may also have some of the same side effects that happen with external radiation treatment.

Overview
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.
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…
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 physicist and a dosimetrist,who make c…
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…
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…
Clinical Trials
- Explore Mayo Clinic studiesof tests and procedures to help prevent, detect, treat or manage conditions.