Treatment FAQ

what to expect after first radiation treatment for breast cancer

by Shyanne Berge III Published 3 years ago Updated 2 years ago
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Here's what to expect during a typical visit to the treatment center: You'll change into a hospital gown or robe when you arrive at the treatment center. You'll also need to remove any jewelry that might get in the way of the treatment. A radiation therapist will bring you to a treatment room where you will be placed in the treatment position.

Pain and skin changes
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. The treated breast may also be rough to the touch, red (like a sunburn), swollen and itchy.

Full Answer

How dangerous is radiation therapy?

Nov 05, 2021 · Patients do not develop nausea or hair loss on the head from radiation therapy to the breast. Most patients develop mild fatigue that builds up gradually over the course of therapy. This slowly goes away one to two months following the radiation therapy.

What to expect when having radiation therapy?

Mar 29, 2021 · Radiation therapy uses carefully controlled, high-energy particles such as X-rays or protons to destroy or damage cancer cells. The radiation is painless and invisible and you will not be radioactive after your treatment. By precisely targeting the breast and lymph nodes, t he goal of radiation therapy is to stop the growth or spread of the breast cancer cells while minimising …

What is the best kind of radiation for breast cancer?

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. Side effects of radiation may include: digestive issues like …

What are the side effects of breast cancer radiation therapy?

Most people start to feel tired after a few weeks of radiation therapy. This happens because radiation treatments destroy some healthy cells as well as the cancer cells. Fatigue usually gets worse as treatment goes on. Stress from being sick and daily trips for treatment can make fatigue worse. Managing fatigue is an important part of care.

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How will I feel after radiation for breast cancer?

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 happens after radiation treatment for breast cancer?

Long-term effects of radiation therapy. Some survivors experience breathlessness, a dry cough, and/or chest pain 2 to 3 months after finishing radiation therapy. That is because radiation therapy can cause swelling and a hardening or thickening of the lungs called fibrosis.

How long after breast radiation will I feel better?

You may start to notice side effects about 2 weeks after you start radiation therapy. They may get worse during your radiation therapy, but they'll slowly get better over 6 to 8 weeks after your last treatment. Some side effects may take longer to go away.Jul 19, 2021

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.Dec 10, 2020

How long will my breast hurt after radiation?

Your radiographer will give you creams to soothe the skin. The soreness usually goes away within 2 to 4 weeks of ending the treatment. Towards the end of the radiotherapy, the skin might break down. especially under the breast.

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

Does radiation on left breast affect the heart?

Potential damage to the heart is influenced by the area of the chest where the tumour is located i.e. radiation targeted to the left breast increases the risk of damage to the heart.

What should you avoid during radiation?

Spicy Foods – Radiation often causes nausea, loose stools, or constipation. Spicy foods can further irritate the stomach and the rectum and cause discomfort. Raw Fish/Shellfish – Radiation therapy kills healthy cells in addition to cancerous cells, which could reduce the strength of your immune system.Jul 28, 2021

Why do I feel cold after radiotherapy?

Humans with cancer are more susceptible to feeling cold in “normal” temperatures, especially after receiving treatment. The researchers suggest that cancer cells possibly induce cold stress in order to secure and promote their own survival.Nov 23, 2013

What does radiation fatigue feel like?

Feeling very tired and lacking energy (fatigue) for day-to-day activities is the most common side effect of radiation therapy to any area of the body. During treatment, your body uses a lot of energy dealing with the effects of radiation on normal cells.

What happens on the first day of radiation?

During your first visit, your radiation oncologist will evaluate your need for radiation therapy and its likely results. This includes reviewing your current medical problems, past medical history, past surgical history, family history,medications, allergies and lifestyle.

Can you wear a bra during radiation?

Opt for soft bras with wide straps: if you are undergoing upper body radiation, you may find your bras to be uncomfortable during radiation. Bras with wide straps and no underwire won't dig into or rub against your skin and breathable fabrics will allow for optimal comfort.Aug 3, 2020

How long after radiation do you start to feel better?

Early side effects, such as nausea and fatigue, usually don’t last long. They may start during or right after treatment and last for several weeks after it ends, but then they get better. Late side effects, such as lung or heart problems, may take years to show up and are often permanent when they do.

How do you know if radiation therapy is working?

There are a number of ways your care team can determine if radiation is working for you. These can include: Imaging Tests: Many patients will have radiology studies (CT scans, MRI scans, PET scans) during or after treatment to see if /how the tumor has responded (gotten smaller, stayed the same, or grown).

How long does radiation stay in your body after cancer treatment?

In this type of brachytherapy, the radiation source stays in place for one to seven days. You are likely to be in the hospital during this time. Once your treatment is finished, your doctor will remove the radiation source and the catheter or applicator.

Should you rest after radiation treatment?

Many patients are able to go to work, keep house, and enjoy leisure activities while they are receiving radiation therapy .” Others find that they need more rest than usual and therefore cannot do as much. You should try to do the things you enjoy, as long as you don’t become too tired.

What can you not do during radiation treatment?

Foods to avoid or reduce during radiation therapy include sodium (salt), added sugars, solid (saturated) fats, and an excess of alcohol. Some salt is needed in all diets. Your doctor or dietitian can recommend how much salt you should consume based on your medical history.

Is radiation worse than chemo?

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. Side effects of radiation may include: digestive issues like nausea, vomiting, stomach cramps, diarrhea.

How soon after radiotherapy can I travel?

Most people are fine a few weeks after treatment is over. However, you should always check with your doctor first. People who have had intensive treatment, such as a stem cell transplant, are at risk of infection for longer. After the first year, you can usually travel abroad.

What is radiation after a lumpectomy?

Adding radiation after a lumpectomy reduces the risk that cancer will return in the affected breast. 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).

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 after a lumpectomy?

One of the most common types of radiation therapy after a lumpectomy is external beam radiation of the whole breast (whole-breast irradiation). Radiation to part of the breast. Radiation therapy to part of the breast (partial-breast irradiation) may be an option for some early-stage breast cancers.

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.

What is the procedure to remove breast cancer?

Internal radiation (brachytherapy). After you have surgery to remove the cancer, your doctor temporarily places a radiation-delivery device in your breast in the area where the cancer once was. A radioactive source is placed into the device for short periods of time over the course of your treatment.

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.

How long does it take for side effects to show up after radiation?

Some side effects might show up quickly, but others might not show up until 1 to 2 years after treatment. Talk with your radiation oncologist about what to watch for and when to call your doctor. If the cancer is in many areas, sometimes the whole brain is treated with radiation.

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 ...

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.

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.

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 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.

What do radiation oncologists do after you leave your first appointment?

After you leave your first appointment with your radiation oncologist, they will use your scans to map out the exact location of the cancer within your body as well as noting the location of any surrounding healthy organs that need to be avoided during treatment.

How long does radiation therapy last?

Type of radiation therapy used. Most external beam radiation, when used to shrink a tumor before surgery, is administered five days a week for five to eight weeks. Fewer treatments may be used if the goal is easing cancer-related symptoms.

What is radiation therapy?

Radiation therapy used as preoperative therapy to shrink a tumor that will then be removed surgically is referred to as neoadjuvant therapy. When radiation is administered at the same time as chemotherapy or immunotherapy, it’s called concurrent treatment.

What is radiation therapy after surgery called?

Radiation therapy used as a treatment after surgery or chemotherapy is called adjuvant therapy . Its goal is to kill off any cancer cells that may have been left behind to reduce the chances of recurrence.

What is the only treatment for cancer?

In some cases, radiation therapy will be the only treatment needed to treat a cancer, but often it is used in conjunction with other treatments, such as surgery, chemotherapy, immunotherapy, or some combination.

How many sessions of radiation therapy for cancer?

Internal radiation therapy for cancer may be completed in one session or a series of three to five sessions about a week apart .

How long can radiation be left in?

Depending on the type of radioactive material used, it will be left in place for only a couple of minutes and then removed or it may be left in permanently.

Other Ways Of Giving Radiotherapy

Intraoperative radiotherapy uses low-energy x-rays given from a machine in the operating theatre during breast-conserving surgery.;

How Do I Take Hormonal Therapy

All the hormonal therapy medicines EXCEPT Faslodex and Soltamox are pills that are taken once a day. Most doctors recommend taking hormonal therapy at the same time each day so you remember to take the medication. Hormonal therapy medicines can be taken with or without food.

What To Expect With Internal Radiation

Before you get any internal radiation, youll meet with your radiation oncologist. They will:

What Are The Advantages Of Hypofractionation

The major advantage is convenience because patients can receive the full course of radiation treatment in fewer sessions. With both conventional and hypofractionated radiation, the patient receives radiation five days a week.

Your Role On Your Radiation Therapy Team

Youll have a team of healthcare providers working together to care for you. Youre part of that team, and your role includes:

What Are Potential Side Effects Of Hypofractionation

As with any form of radiation therapy, a common side effect of hypofractionation is some degree of skin irritation, much like a sunburn. Usually, skin irritation flares up during treatment; sometimes, it arises after.

What Can I Expect If I Am Receiving External Beam Radiation Therapy

External beam radiation treatment for cancer is typically administered every day, Monday through Friday, for five to eight weeks. About two weeks after your first radiation therapy appointment when you have the simulation scan, youll begin your treatments.

What to expect when getting radiation therapy?

What to Expect When Having Radiation Therapy. It is normal to feel worried or overwhelmed when you learn that you will need radiation therapy. However, learning more about this type of cancer treatment may help you feel more prepared and comfortable.

How long does radiation therapy last?

It is the most common radiation therapy treatment for cancer. Each session is quick, lasting about 15 minutes. Radiation does not hurt, sting, or burn when it enters the body.

What type of doctor is responsible for radiation therapy?

Radiation oncologist. This type of doctor specializes in giving radiation therapy to treat cancer. A radiation oncologist oversees radiation therapy treatments. They work closely with other team members to develop the treatment plan. Radiation oncology nurse.

What is simulation in radiation therapy?

Simulating and planning treatment. Your first radiation therapy session is a simulation. This means it is a practice run without giving radiation therapy. Your team will use imaging scans to identify the tumor location.

Why is it important to be in the same position for radiation?

It is important for your body to be in the same position for each treatment. Your radiation oncology team cares about your comfort. Talk with the team to find a comfortable position that you can be in every time you come in for radiation therapy.

How often should you check for radiation?

During your treatment, your radiation oncologist will check how well it is working. Typically, this will happen at least once a week. If needed, they may adjust your treatment plan.

What is informed consent for radiation?

Giving permission for radiation therapy. If you choose to receive radiation therapy, your health care team will ask you to sign an "informed consent" form. Signing the document means: Your team gave you information about your treatment options. You choose to have radiation therapy.

How long after cancer treatment do side effects show?

Some side effects might not even show up until years after you have finished treatment. Visits with your doctor are a good time for you to ask questions and talk about any changes or problems you notice or concerns you have. However, if you have additional concerns about your cancer, you do not have to wait until your next scheduled visit.

How long does breast cancer treatment last?

Almost any cancer treatment can have side effects. Some might only last for a few days or weeks, but others might last a long time.

Why do you need a pelvic exam after breast cancer surgery?

Pelvic exams: If you are taking either of the hormone drugs tamoxifen or toremifene and still have your uterus, you should have pelvic exams every year because these drugs can increase your risk of uterine cancer.

Why aren't breast cancer tests included in follow up?

Other tests: Other tests such as blood tests and imaging tests (like bone scans and chest x-rays) are not a standard part of follow-up because they haven’t been shown to help a woman who's been treated for breast cancer live longer.

What happens if cancer comes back?

If cancer does return, your treatment options will depend on where it comes back, what treatments you've had before, and your current health and preferences. For more information on how recurrent cancer is treated, see Treatment of Recurrent Breast Cancer .

What does a doctor look for in a woman with cancer?

If the cancer recurrence is confirmed, your doctor may also look for circulating tumor cells in the blood, or measure levels of blood tumor markers such as CA-15-3, CA 27-29, or CEA. The blood levels of tumor markers go up in some women if their cancer recurs or has spread to other parts of the body.

Is breast cancer a risk factor for cervical cancer?

In fact, women who have had breast cancer are at higher risk for certain other cancers. Because of this, it’s important to follow the American Cancer Society guidelines for the early detection of cancer, such as those for colorectal cancer and cervical cancer.

How long does radiation treatment last?

Treatments are usually scheduled five days a week, Monday through Friday, and continue for one to 10 weeks. The number of radiation treatments you will need depends on the size, location and type of cancer you have, the intent of the treatment, your general health, and other medical treatments you may be receiving.

What is radiation oncology nursing?

Radiation oncology nurses work with every member of the treatment team to care for you and your family before, during and after treatment. They will explain the possible side effects you may experience and will describe how you can manage them.

What is the name of the doctor who oversees radiation therapy?

Radiation Oncologists. Radiation oncologists are the doctors who will oversee your radiation therapy treatments. These physicians work with the other members of the radiation therapy team to develop and prescribe your treatment plan and make sure that each treatment is given accurately. Your radiation oncologist will also track your progress ...

What is the role of radiation oncologists?

Radiation oncologists help identify and treat any side effects that may occur due to radiation therapy. They work closely with other cancer doctors, including medical oncologists and surgeons, and all members of the radiation oncology team. Radiation oncologists are the only physicians with the expertise and training to deliver radiation therapy ...

What is a radiation therapist?

Radiation therapists work with radiation oncologists to give the daily radiation treatment under the doctor’s prescription and supervision. They maintain daily records and regularly check the treatment machines to make sure they are working properly.

How does chemotherapy work?

The chemotherapy may work to help sensitize the cancer cells in the target area to the radiation therapy and may also travel elsewhere in the body to help destroy or reduce microscopic cancer cells. Your treatment team will help coordinate these therapies and care for potential side effects.

How often do you get chemotherapy and radiation?

In some cases, a patient may receive chemotherapy and radiation therapy at the same time. The chemotherapy may be delivered weekly, every three weeks or at some schedule determined by the medical oncologist together with the radiation oncologist.

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Overview

Why It's Done

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 ...
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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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