Treatment FAQ

what is radiation treatment for breast cancer

by Kavon Botsford Published 3 years ago Updated 2 years ago
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Radiation therapy — also called radiotherapy — is a treatment that uses high-energy radiation to kill cancer cells and shrink tumors. 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.Feb 2, 2022

How long does a radiation treatment take for breast cancer?

The standard schedule for getting whole breast radiation is 5 days a week (Monday through Friday) for about 6 to 7 weeks.

What is the success rate of radiation therapy for breast cancer?

Radiation therapy decreased the risk of dying from cancer by approximately 33%. The probability of surviving 10 years from treatment was increased from 54% to 64% and 45% to 54% in the two studies, respectively. No significant long-term side effects of radiation therapy were reported.

What are the most common side effects of radiation therapy?

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.Dec 10, 2020

At what stage of cancer is radiotherapy used?

Radiotherapy may be used in the early stages of cancer or after it has started to spread. It can be used to: try to cure the cancer completely (curative radiotherapy) make other treatments more effective – for example, it can be combined with chemotherapy or used before surgery (neo-adjuvant radiotherapy)

Do you lose hair with radiation?

Radiation therapy also can cause hair loss Radiation therapy also attacks quickly growing cells in your body, but unlike chemotherapy, it affects only the specific area where treatment is concentrated. If you have radiation to your head, you'll likely lose the hair on your head.

Is radiation worse than chemotherapy?

Since radiation therapy is focused on one area of your body, you may experience fewer side effects than with chemotherapy. However, it may still affect healthy cells in your body.Mar 27, 2020

What can you not do during radiation treatment?

Avoid raw vegetables and fruits, and other hard, dry foods such as chips or pretzels. It's also best to avoid salty, spicy or acidic foods if you are experiencing these symptoms. Your care team can recommend nutrient-based oral care solutions if you are experiencing mucositis or mouth sores caused by cancer treatment.Nov 8, 2021

Is radiation therapy painful?

Does radiation therapy hurt? No, radiation therapy does not hurt while it is being given. But the side effects that people may get from radiation therapy can cause pain and discomfort. This booklet has a lot of information about ways that you and your doctor and nurse can help manage side effects.

Do tumors grow back after radiation?

Normal cells close to the cancer can also become damaged by radiation, but most recover and go back to working normally. If radiotherapy doesn't kill all of the cancer cells, they will regrow at some point in the future.Jul 6, 2020

How many sessions of radiation is needed for breast cancer?

If you need radiotherapy, your treatment will begin about a month after your surgery or chemotherapy to give your body a chance to recover. You'll probably have radiotherapy sessions 3 to 5 days a week, for 3 to 5 weeks. Each session will last a few minutes.

How long after radiation do you start to feel better?

Your skin should start to feel better a few weeks after therapy ends. But when it heals, it may be a darker color. And you'll still need to protect yourself from the sun even after radiation therapy has ended.Feb 8, 2021

What are the disadvantages of radiation therapy?

The disadvantages of radiation therapy include:damage to surrounding tissues (e.g. lung, heart), depending on how close the area of interest is located to the tumor.inability to kill tumor cells that cannot be seen on imaging scans and are therefore not always included on the 3D models (e.g. in near-by lymph nodes.More items...

What is radiation therapy for breast cancer?

Radiation for Breast Cancer. Radiation therapy is treatment with high-energy rays (or particles) that destroy cancer cells. Some women with breast cancer will need radiation, in addition to other treatments. Radiation therapy is used in several situations: After breast-conserving surgery (BCS), to help lower the chance that ...

How long does radiation therapy last on breast?

Another option is hypofractionated radiation therapy where the radiation is also given to the whole breast, but in larger daily doses (Monday through Friday) using fewer treatments (typically for only 3 to 4 weeks).

How long does it take for breast cancer to go away?

Changes to the breast tissue usually go away in 6 to 12 months, but it can take longer. External beam radiation therapy can also cause side effects later on: Some women may find that radiation therapy causes the breast to become smaller and firmer. Radiation may affect your options for breast reconstruction later on.

What is APBI in breast cancer?

In select women, some doctors are using accelerated partial breast irradiation (APBI) to give larger doses over a shorter time to only one part of the breast compared to the entire breast. Since more research is needed to know if these newer methods will have the same long-term results as standard radiation, not all doctors use them. There are several different types of accelerated partial breast irradiation:

How is brachytherapy done for breast cancer?

Intracavitary brachytherapy: This is the most common type of brachytherapy for women with breast cancer. A device is put into the space left from BCS and is left there until treatment is complete. There are several different devices available, most of which require surgical training for proper placement. They all go into the breast as a small catheter (tube). The end of the device inside the breast is then expanded like a balloon so that it stays securely in place for the entire treatment. The other end of the catheter sticks out of the breast. For each treatment, one or more sources of radiation (often pellets) are placed down through the tube and into the device for a short time and then removed. Treatments are typically given twice a day for 5 days as an outpatient. After the last treatment, the device is deflated and removed.

What are the side effects of radiation on breast?

The main short-term side effects of external beam radiation therapy to the breast are: Swelling in the breast. Skin changes in the treated area similar to a sunburn (redness, skin peeling, darkening of the skin) Fatigue.

What is intensity modulated radiotherapy?

Intensity-modulated radiotherapy (IMRT): IMRT is like 3D-CRT, but it also changes the strength of some of the beams in certain areas. This gets stronger doses to certain parts of the tumor bed and helps lessen damage to nearby normal body tissues. Brachytherapy: See brachytherapy below.

How effective is radiation therapy for breast cancer?

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.

What is breast radiation?

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.”. Another term used for the same treatment is whole breast “external beam ...

What questions should I ask my radiation oncologist?

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 brachytherapy?

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. It is a form of accelerated partial breast irradiation (APBI).

How long does breast radiation last?

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. Ask your radiation oncologist if you qualify for a “shorter, ...

Is breast radiation an outpatient procedure?

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.

What is iort for breast cancer?

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. It is a form of accelerated partial breast irradiation (APBI). The short-term and long-term results have yet to show the same effectiveness as whole breast radiation. Review our video lesson on “ Intraoperative Radiation ” to see if you are a candidate.

What is the best treatment for breast cancer after lumpectomy?

It’s important to follow the treatment plan prescribed by your health care provider in terms of: Timing. Dose. Frequency. Completing radiation therapy . Radiation therapy after lumpectomy lowers the risk of breast cancer recurrence and may increase the chances of survival [ 4 ]. It’s usually recommended after lumpectomy.

What is the goal of radiation therapy?

The goal of radiation therapy is to kill any cancer that might be left in the breast or nearby lymph nodes after surgery. Radiation therapy is an option for many women who have: Ductal carcinoma in situ (DCIS, non-invasive breast cancer) Early breast cancer. Radiation therapy is standard treatment for most women who have:

What is DCIS radiation?

Radiation therapy and DCIS. Radiation therapy is often given to women who are treated with lumpectomy (also called breast-conserving surgery) for DCIS. In rare cases, radiation therapy is given to women treated with mastectomy for DCIS. Learn more about treatment for DCIS.

Where are lymph nodes located in breast cancer?

These can include the lymph nodes in the underarm area (axillary nodes), around the collarbone or near the breastbone (internal mammary nodes). Going Through Radiation Therapy. Radiation therapy is carefully planned and precisely given. Your treatment is tailored to your breast cancer and your body.

Can radiation therapy cause breast cancer?

Radiation therapy can cause harm to normal tissue during and after treatment in people who have certain inherited gene mutations. In some women at higher risk of breast cancer recurrence, radiation therapy may still be used. Past radiation therapy to the same breast or to the same side of the chest.

What are the side effects of radiation therapy?

Radiation therapy has some short-term side effects (such as skin tenderness) and for some women, long-term side effects (such as lymphedema ). Learn more about possible side effects of radiation therapy.

Can breast implants be removed?

In these cases, the implant may need to be removed. Radiation therapy and breast reconstruction with implants.

What is breast radiation?

Internal Breast Cancer Radiation (Newer treatments that inject radioactive cancer-killing treatments only in the affected area) Keep in mind that the course of treatment you decide is something you should discuss with your radiation oncologist in order to ensure that it is as effective as possible.

What is radiation used for?

The radiation is used to destroy undetectable cancer cells and reduce the risk of cancer recurring in the affected breast. There are two main kinds of radiation therapy that may be considered, and some people have both. External Beam Breast Cancer Radiation (Traditional cancer-killing rays delivered by a large machine)

What are the side effects of a syringe?

The most common side-effects are: 1 Sunburn-type skin irritation of the targeted area (which may range from mild to intense) 2 Red, dry, tender, or itchy skin 3 Breast heaviness 4 Discoloration, redness, or a bruised appearance 5 General fatigue

How to reduce fatigue from radiation?

Routine exercise has been proven to reduce the degree of fatigue patients experience from radiation therapy. You may wish to discuss with your doctor the possible long-term effects of radiation therapy. For example, radiation therapy to the chest may harm the lung or heart. Also, it can change the size of your breast and the way it looks.

Does radiation affect the heart?

For example, radiation therapy to the chest may harm the lung or heart. Also, it can change the size of your breast and the way it looks. If any of these problems occur, your oncology team can tell you how to manage them.

What are the side effects of radiation therapy?

The most common side-effects are: Sunburn-type skin irritation of the targeted area (which may range from mild to intense) Red, dry, tender, or itchy skin. Breast heaviness. Discoloration, redness, or a bruised appearance. General fatigue.

How long does radiation treatment last?

Certain situations may require a slightly higher dose of radiation over a shorter course of treatment, usually three to four weeks (called accelerated radiation.)

What is radiation therapy for breast cancer?

Radiation therapy is planned specifically for your breast cancer, the shape of your body and your internal anatomy. This is why sessions can’t be split between different treatment centers. Your treatment plan is based on: The tumor size, type and location. The number of lymph nodes with cancer. The type of breast surgery (and lymph node surgery) ...

What is external beam radiation therapy?

External beam radiation therapy uses standard external beam radiation therapy, but only targets the tumor bed. Intraoperative radiation therapy gives a single dose of radiation to the tumor bed during a lumpectomy. This dose of radiation is higher than in a standard radiation session.

How to contact Komen for breast cancer?

Transportation, lodging, child care and elder care assistance 1 If you or a loved one needs more information about breast health or breast cancer, call the Komen Breast Care Helpline at 1-877 GO KOMEN (1-877-465-6636). All calls are answered by a trained specialist or oncology social worker in English and Spanish, Monday through Friday from 9:00 a.m. to 10:00 p.m. ET. You can also email the helpline at [email protected]. 2 We offer an online support community through our closed Facebook Group – Komen Breast Cancer group. The Facebook group provides a place where those with a connection to breast cancer can discuss each other’s experiences and build strong relationships to provide support to each other. Visit Facebook and search for “Komen Breast Cancer group” to request to join the closed group. 3 Our fact sheets, booklets and other education materials offer additional information.

How long does radiation treatment last?

Each session lasts about 10-20 minutes.

What is hypofractionated breast irradiation?

This is called hypofractionated whole-breast irradiation. It’s like standard whole-breast radiation therapy except it uses a slightly higher dose of radiation per session (hypofractionation). This reduces the number of treatment sessions, making the overall course shorter. For most women with early breast cancer, ...

Can you be radioactive after radiation?

With any standard radiation therapy (whole-breast radiation therapy, accelerated, hypofractionated whole-breast irradiation, partial breast irradiation or a boost) you will not be radioactive when you leave the radiation treatment center. You will not pose any radiation risk to your family or your pets.

What is a boost breast?

After radiation therapy to the whole breast, you may have more radiation (called a boost) to the part of the breast that had the tumor. This boost increases the amount of radiation given to the area at highest risk for breast cancer recurrence. Your boost radiation session is similar to a regular session.

How does radiation help cancer?

When radiation is combined with surgery, it can be given: 1 Before surgery, to shrink the size of the cancer so it can be removed by surgery and be less likely to return. 2 During surgery, so that it goes straight to the cancer without passing through the skin. Radiation therapy used this way is called intraoperative radiation. With this technique, doctors can more easily protect nearby normal tissues from radiation. 3 After surgery to kill any cancer cells that remain.

What is radiation therapy?

Radiation therapy is used to treat cancer and ease cancer symptoms. When used to treat cancer, radiation therapy can cure cancer, prevent it from returning, or stop or slow its growth. When treatments are used to ease symptoms, they are known as palliative treatments.

What are the two types of radiation?

There are two main types of radiation therapy, external beam and internal . The type of radiation therapy that you may have depends on many factors, including: The type of cancer. The size of the tumor. The tumor’s location in the body. How close the tumor is to normal tissues that are sensitive to radiation.

How long does it take for cancer cells to die from radiation?

It takes days or weeks of treatment before DNA is damaged enough for cancer cells to die. Then, cancer cells keep dying for weeks or months after radiation therapy ends.

What is external beam radiation therapy?

External Beam Radiation Therapy. External beam radiation therapy comes from a machine that aims radiation at your cancer. The machine is large and may be noisy. It does not touch you, but can move around you, sending radiation to a part of your body from many directions.

Does radiation therapy cause cancer?

Radiation Therapy Can Cause Side Effects. Radiation not only kills or slows the growth of cancer cells, it can also affect nearby healthy cells. Damage to healthy cells can cause side effects. Learn more about the side effects of radiation therapy.

What is brachytherapy in cancer?

Like external beam radiation therapy, brachytherapy is a local treatment and treats only a specific part of your body.

What is the best treatment for breast cancer?

External beam radiation is the most common kind of radiation treatment for breast cancer. It’s a painless treatment, like getting an X-ray. A doctor will place a machine on the outside of your body and aim the radiation beams at the area of the cancer.

What is the most common type of radiation for breast cancer?

Intracavitary brachytherapy is the most common type of internal breast cancer radiation. Your doctor will place a tube-like device into your breast to send radiation to the location of the cancer. The end of the device expands in the breast to keep it in place, while the other end sticks out of the breast.

How long does radiation treatment last?

Radiation can start after two weeks, to a month or later. Radiation treatment often lasts more than a month. The number of sessions depends on the type of radiation treatment you have.

What is internal radiation?

You doctor will place a device that contains radioactive seeds in the area of the breast where the cancer was found. For a short time, internal radiation targets only the area where breast cancer is most likely to return. This causes fewer side effects.

How long does it take to get breast cancer treatment?

The treatment takes a week to complete. If you’ve had breast-saving surgery, a doctor may treat you with both internal and external radiation to increase the boost of radiation. Doctors may only perform internal radiation as a form of accelerated partial breast radiation to speed up treatment.

Can breast cancer patients have radiation?

Sometimes, a person with advanced breast cancer will have internal radiation. Intraoperative radiation works best: during early stage breast cancer. when the tumor is too close to healthy tissue for external radiation to be possible. Not everyone can have intraoperative radiation or internal beam radiation.

How long does it take to get a linear accelerator?

A linear accelerator, which takes two minutes. A small device that brings a high dose of radiation to the cancer area. This technique takes up to 10 minutes. Side effects of intraoperative radiation include: red, dark, dry, or irritated skin. changes in breast appearance and density.

What to do if your breast is sore after breast cancer treatment?

During and just after treatment, your treated breast may be sore. Talk with your health care provider about using mild pain relievers such as ibuprofen, naproxen or acetaminophen to ease breast tenderness.

How to treat lymphedema in breast?

The chances of getting lymphedema are greater if your treatment includes both [ 5,15-18 ]: 1 Removal of axillary nodes during breast cancer surgery (the more nodes removed, the greater the risk) 2 Radiation therapy to the axillary or supraclavicular (above the collarbone) lymph nodes

How to contact Komen for breast cancer?

If you or a loved one needs more information about breast health or breast cancer, call the Komen Breast Care Helpline at 1-877 GO KOMEN (1-877-465-6636).

How long does it take for side effects to go away after radiation?

Once radiation therapy ends, short-term side effects will mostly go away within 2 weeks [ 9 ]. Let your radiation oncologist or nurse know how the sessions are making you feel. They may be able to recommend creams or other interventions ...

What causes a swollen arm?

Lymphedema is a condition in which fluid collects in the arm, causing it to swell. Swelling may also occur in the breast, chest or back. The chances of getting lymphedema are greater if your treatment includes both [ 5,15-18 ]: Being overweight also increases the risk of lymphedema [ 5,15-17 ].

How long does fatigue last after radiation?

Fatigue. Fatigue is common during radiation therapy and may last for several weeks after treatment ends. Fatigue is mainly a short-term problem, but for some, it can persist [ 10-11 ]. You may feel like you don’t have any energy and may feel tired all of the time. Resting may not help.

Can radiation cause hair loss?

Nausea and hair loss. Nausea is rare with radiation therapy to the breast. You won’t lose the hair on your head. However, you may lose some hair under your arm or on the breast or chest area getting radiation (this may be a concern for some men with breast cancer).

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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 physicist and a dosimetrist,who make c…
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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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