what to expect from radiation treatment for stage 1 breast cancer

Doctors typically recommend radiation therapy after a lumpectomy for stage 1 breast cancer treatment. Radiation therapy helps destroy any cancer cells that may have been left behind after the surgery. This helps lower the chance of the breast cancer coming back.

Full Answer

What happens before my first radiation treatment for breast cancer?

Most people who have breast cancer treatment receive external beam radiation therapy. The goal is to destroy any remaining cancerous cells while protecting healthy tissue. Before your first treatment, you will have a planning session . This simulation helps your provider map out the treatment area while sparing normal tissues .

What happens after Stage 1 breast cancer is treated?

A new, unrelated breast cancer is more likely to emerge after stage 1 breast cancer is treated than a recurrence. Your healthcare provider will recommend a surveillance schedule for you so that new breast cancer or a recurrence can be identified and treated as quickly as possible.

What is the typical schedule of radiation therapy for breast cancer?

The schedule of radiation sessions is designed to treat your breast cancer and varies from person to person. Many women now get a shortened course (5 days a week, for 3-4 weeks) of radiation therapy [ 7 ]. This is called hypofractionated whole-breast irradiation.

What can I expect during my first radiation therapy session?

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. These may include: Depending on the area being treated, you may receive a small mark on your skin. This will help your team aim the radiation beam at the tumor.

How many radiation treatments do you need for stage 1 breast cancer?

In most cases, the standard treatment for early-stage breast cancer is lumpectomy to remove the cancer followed by about 6 weeks of radiation therapy (5 days a week) to destroy any cancer cells that may have been left behind.

How long does radiation last for Stage 1 breast cancer?

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 radiation treatment a day, five days a week (usually Monday through Friday), for five or six weeks.

What happens after first radiation treatment for breast cancer?

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.

Is radiation used for stage 1 breast cancer?

Most women with breast cancer in stages I, II, or III are treated with surgery, often followed by radiation therapy.

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 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.

What should you avoid during radiation?

“One of the potential side effects of radiation therapy includes intestinal problems, such as bloating,” says Lara. “Patients should watch out for foods and dietary habits that may cause bloating such as cruciferous vegetables, carbonated beverages, and drinking from straws.”

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.

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.

Do you lose hair with radiation?

Radiation therapy can also cause hair loss on the part of the body that is being treated. Hair loss is called alopecia. Talk with your health care team to learn if the cancer treatment you will be receiving causes hair loss.

What are the chances of Stage 1 breast cancer returning?

On average, 7 percent to 11 percent of women with early breast cancer experience a local recurrence during this time. For patients with a family history of cancer, or a BRCA1 or BRCA2 gene mutation, the cancer recurrence rate is higher. The risk of finding new cancers, such as ovarian cancer, may also be higher.

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.

Risk Of Heart Disease From Breast Cancer Radiation

Although radiation exposure from breast cancer treatment is associated with a small risk of subsequent heart disease, the risk is lower than it was 20 years ago, according to the results of a study published in JAMA Internal Medicine .9

What Is Stage 0 Dcis

Stage 0 breast cancer, ductal carcinoma in situ is a non-invasive cancer where abnormal cells have been found in the lining of the breast milk duct. In Stage 0 breast cancer, the atypical cells have not spread outside of the ducts or lobules into the surrounding breast tissue.

What Should I Expect After Radiation Therapy For Breast Cancer

You may notice fatigue as well as skin changes while undergoing radiation therapy. Your skin may become irritated, tender and swollen . People with fair skin may develop a red sunburn appearance. People with dark skin may notice darkening of the skin. This condition can also cause dry, itchy, flaky skin.

Stage 0 Breast Cancer

Stage 0 breast cancer is when the cells that line the milk ducts have become cancerous. This type of cancer is called ductal carcinoma in situ , or non-invasive or pre-invasive breast cancer.

Complementary And Alternative Treatments

Some people with breast cancer might be interested in exploring complementary or alternative treatments like vitamins, herbs, acupuncture, and massage.

Is Radiation Necessary For All Patients With Node Negative Disease

Researchers are evaluating whether eliminating radiation in several groups of women is ongoing but inconclusive at this time. For example doctors are trying to determine if women over 70 years who have hormone receptor-positive, HER2-positive disease or those with luminal A breast cancer can avoid radiation altogether.

Internal Beam Radiation Or Brachytherapy

Brachytherapy is a type of radiation therapy that generates radiation from within the body. In comparison with external beam radiation, which projects particles of radiation from outside the body, brachytherapy can deliver higher doses of radiation in a precise fashion, resulting in fewer side effects and shorter treatment times.

How long does radiation treatment last on breast?

A whole breast radiation treatment regimen consists of appointments 5 days a week for 6–7 weeks. Hypofractionated radiation therapy is a faster process that focuses radiation on the whole breast in larger doses for 3–5 weeks. This schedule is just as effective and may even result in fewer long-term side effects.

What is breast radiation?

In whole breast radiation, machines direct radioactive particles across the entire breast. This procedure takes place after surgery to remove the primary tumors. If any cancer cells have survived the surgery, the radiation helps prevent them from growing.

What is brachytherapy radiation?

Brachytherapy is a type of radiation therapy that generates radiation from within the body. In comparison with external beam radiation, which projects particles of radiation from outside the body, brachytherapy can deliver higher doses of radiation in a precise fashion, resulting in fewer side effects and shorter treatment times.

What type of radiation is used to treat breast cancer?

External beam radiation. External beam radiation uses machines to focus radioactive particles at the areas of the body that cancer has affected. It is the type of radiation therapy that doctors most commonly use to treat breast cancer. The treatment type and schedule differ depending on the areas of the body that need treatment and ...

What is radiation therapy?

Overview of radiation therapy. Radiation therapy uses high energy X-rays, protons, or other particles to kill cancer cells. These particles damage the DNA in cancer cells, ridding them of their ability to reproduce, which slows or stops their growth.

How long does radiation therapy last?

People may need to complete a course of radiation therapy, which will likely span several weeks. Radiation treatment can use external beam radiation or internal beam radiation, which doctors call brachytherapy. The therapy may treat the whole breast or focus on specific areas to minimize the damage to healthy cells.

Why do people need radiation therapy?

Radiation therapy is a flexible and safe treatment. Doctors may use it after surgery to remove cancerous tumors, as it can reduce the chances of a recurrence by destroying any remaining cancer cells. If an individual has metastatic breast cancer, which is when cancer has spread to other parts ...

Local treatment: surgery and radiation

If you receive a diagnosis of stage 1 breast cancer, your doctor may recommend local treatments such as surgery and radiation therapy to treat your breast cancer at the site.

Systemic treatments for stage 1 breast cancer

Systemic treatments, often termed add-on or adjuvant treatments, treat breast cancer throughout your body and not just at the site of the tumor.

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 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 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 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 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 stage 1 breast cancer?

Stage 1 breast cancer is the earliest stage of what's considered invasive breast cancer. "Invasive" does not mean that the cancer has invaded other areas of your body. Rather, it simply means that the cells in your tumor have infiltrated the area past what's called the basement membrane. When a tumor first begins, ...

How big is a stage 1B breast tumor?

The tumor is less than 20 mm (2 cm) in size and there is no spread to lymph nodes. Stage 1B: T1N1miM0. The tumor is less than 20 mm (2 cm) in size and there are micrometastases in a nearby lymph node. Stage 1B: T0N1miM 0. There is no evidence of a primary tumor in the breast but there are micrometastases in a lymph node (usually in the armpit).

What does N mean in cancer?

N = Nodes: All stage 1 cancer is N-0 or N-1mi. N-0 means it has not spread to any lymph nodes. N-1 means that it has spread to lymph nodes nearby. The "mi" means micrometastases, which can only be seen under the microscope. Micrometastases measure between 0.2 millimeters (mm) and 2 mm (0.2 cm) in diameter. 3.

What is the best treatment for stage 1 cancer?

Surgery. Surgery is recommended for the majority of stage 1 cancers. 10 Options include either a lumpectomy or a mastectomy. People choose one over the other for a number of reasons, and it can be a very personal choice. If you choose a lumpectomy, following up with radiation therapy is usually recommended.

What is systemic therapy for stage 1 breast cancer?

With stage 1 breast cancers, the use of systemic therapy is considered adjuvant (add-on) therapy. 9 The goal is to eliminate any cancer cells that may have spread beyond the breast but are too small to be detected. In consultation with your doctor, weigh the pros and cons of each option in relation to your case.

How long does it take for breast cancer to progress?

It is not possible to determine exactly how long it will take for newly diagnosed breast cancer to progress from stage 1 to stage 2. It can happen within months if it is an aggressive high-grade tumor, or it can take longer.

What are the treatments for cancer?

Local treatments: These treat cancer at the site and include surgery and radiation therapy. Systemic treatments: These treat cancer throughout the body and include chemotherapy, hormonal therapy, targeted therapy, and immunotherapy. If a tumor is very small, local treatments 8 are usually all that's required.

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.

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) ...

How long does it take to get a breast irradiated after a lumpectomy?

Partial breast irradiation delivers radiation only to the area around the tumor bed (the space where the tumor was removed during lumpectomy). It’s typically done in a shortened course over only 5-10 days.

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, ...

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.

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.

What is brachytherapy in cancer?

Brachytherapy uses targeted radiation placed inside the tumor bed. Implanted radiation “seeds” (interstitial radiation therapy) or a single small balloon device (intracavitary radiation therapy) can be used to deliver the radiation. External beam radiation therapy uses standard external beam radiation therapy, but only targets the tumor bed.

What is the purpose of CT scan for radiation oncology?

They will use a CT scan to guide the radiation planning. During the planning session, your radiation oncologist will put small marks (about the size of a pinhead) on your skin.