Breast Cancer Radiation: Will I Need Radiation?
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- เผยแพร่เมื่อ 25 มี.ค. 2018
- We teach you about the indications for, and benefits of breast radiation after a lumpectomy or mastectomy. Learn about the criteria to possibly avoid radiation after a lumpectomy.
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Questions for your Surgeon and Radiation Oncologist:
Will I need radiation if I have a lumpectomy?
Will I need radiation if I have a mastectomy?
How can I avoid radiation for my cancer?
Will I need radiation if I have a lumpectomy?
The answer is most likely, YES. For those diagnosed with a small, Early-Stage breast cancer, a lumpectomy followed by radiation is just as effective at curing your cancer as a mastectomy without radiation. Whenever the term “lumpectomy” is mentioned, it is assumed that “radiation” will follow the surgery in order to keep the chance of a breast cancer local recurrence to an acceptably low rate. There are some instances where a lumpectomy without radiation may be an option for those with very favorable breast cancers. Review our lesson on “Breast Cancer Recurrence” to learn about the threat to your life from “local and regional recurrence.”
Why is radiation often needed after surgery?
Quite simply, radiation reduces the chance of cancer growing back in the area where the tumor was surgically removed. When a lumpectomy is performed, the surgeon removes a normal layer of breast tissue around the cancer, called margins. Even if the margins are “clear” and uninvolved with cancer, there is still a small chance cancer cells can be left behind in that area of the breast. In the future, these cells can grow to become a “local recurrence” of cancer in the same area of the surgery. Without radiation, the chance of local recurrence after a lumpectomy is about 15 to 25% over a period of 10 years. Radiation reduces this risk to about 5 to 8%.
Will I need radiation after a mastectomy?
The answer is most likely, no. Post Mastectomy Radiation Therapy (PMRT) is the term for applying radiation to the area of the chest wall after a mastectomy, usually performed about 4 weeks after surgery or after both surgery and chemotherapy are completed. PMRT is generally recommended for those with a high risk of local recurrence.
If you or your surgeon. before surgery, think you might need PMRT it is essential to see your radiation oncologist before you have mastectomy surgery. This way, your radiation oncologist will better understand the size, shape, and extent of your breast tumor before it is removed by surgery or has shrunk away with neoadjuvant chemotherapy. Radiation oncologists have a unique insight into breast cancer treatment options that can assist your surgeon in planning the direction of your cancer care.
The decision to undergo Post Mastectomy Radiation Therapy is complicated. Patients should insist on a multidisciplinary team approach to get the best treatment recommendations for high risk breast cancer situations. When your breast surgeon works closely with your radiation oncologist and medical oncologist, you will be offered the best treatment options. Below is a general outline to help you understand when radiation after a mastectomy is needed.
How can I avoid radiation for my cancer?
Your surgical choice: Lumpectomy vs Mastectomy:
Lumpectomy with radiation is just as effective as a mastectomy without radiation for most early stage breast cancers. This is a choice made with your breast surgeon and is obviously a difficult one. The decision is also a personal one. Usually, you can avoid radiation if a mastectomy is performed for favorable cancers. Review our lesson on "Lumpectomy vs. Mastectomy" to learn the questions to ask your surgeon to be better informed about the risk and benefits of each surgical approach.
Advanced age or poor health:
If you are older than 70 and have a favorable, small tumor with no lymph nodes involved, you can consider having a lumpectomy and withholding radiation. This approach is only possible when you take a 5 to 10-year course of hormonal therapy. There are specific criteria for this “lumpectomy only” approach. Make sure to ask your radiation oncologist about the risks and benefits of radiation and no radiation in this situation. The same approach can apply if someone is more advanced in age or those with a fragile health status. In these situations, the risks of radiation can sometime outweigh the benefits of post-lumpectomy radiation.
Neoadjuvant Chemotherapy:
Chemotherapy before surgery for well selected patients can sometimes destroy all of the cancer cells in the breast and the lymph nodes. When surgery reveals that the tissue has no residual cancer cells after completing chemotherapy, this is called a Pathologic Complete Response (pCR).
Lumpectomy, done currently receiving radiation . Hormone tx next, I am elderly. But, grateful I can get these treatment’s. Don’t give up, IMO
I had my surgery in April to remove a very small tumor. Then 12 rounds of chemo. No side effects. I was HR2+ and am getting ready to start a targeted series. So far no talk about radiation. Am very happy with everything I have been through.
Hi
My sister has undergone 3 lumpectomies and is undergoing her chemo treatment.
She has 5 cycles of chemo at 40% strength but we are terrified of the side effects for the next 4. (she has completed 1 cycle so far)
Can you shed some light on your experience please
Already to jump ship with all of this. I need to get back to living and my life now not a week or a month from now.
Thank you for explaining everything in details. I was just diagnosed and this help me to understand
Thank you dear Doctor..
Very informative....I am a breast cancer survivor and for 2 years now I have been cancer free and I thank God every day for keeping me alive...I took 4 chemo...then had a double mastectomy an then had 4 more radiation....because it did not spread to my lymph nodes and the test came back negative I my doctor said radiation wasn't necessary....I pray everyday for keeping me alive and I also pray for everyone that is going through breast cancer an every type of cancer.....cancer really plays with your mind an it is something without support it is very hard....blessings to everyone...
Thank you for your valuable information.
Im 85, at 75 had lumpectomy and 32 days radiation and 7 year tamoxifen .. now 10 years cancer free. So blessed!
This is a great chanel. Thank you for helping us.
I'm very lucky to have come in contact with DR RORPOPOR HERBAL on TH-cam in curing my breast cancer, I almost gave up in life but after using his herbal medication I feel just like every normal human and I'm so grateful
Love listening to this Dr. I then take my informative questions to my on team of Dr's. Thank you.
Thank you for the feedback. Make sure you visit the complete Breast Cancer School for Patients. Same video lessons, but organized in the order of topics you will experience them. www.breastcancercourse.org/
@D Sicilia what's that I'm having surgery and they're considering radiation ink dont want that
He@@BreastCancerSchoolforPatients
Hello, Dr. I am a cancer patient who is under going chemotherapy for 9 months now. I would like 2 ask how many more shd I need to have chemo therapy. My cancer is stage 2 do I need a radiation? Thank u so much & looking forward 2 give a light on my situation.
I was diagnosed with breast cancer and all your lessons Dr were very informative. In this two weeks i have gained such allot of knowledge from your lessons. By the time i had my appointment with Professor Apffelstaedt and Oncologist Dr Pienaar to discuss my cancer treatment plan, I had a better understanding what i could expect and it also gave me confidence as i had a relatively good understanding of my diagnosis. It also allowed me ask my Drs questions. Me being diagnosed with breast cancer give me the opportunity to learn more about cancer, because for me this is not always about a fight and survival, but also an opportunity to gain knowledge around the deceased called breast cancer and how to managed it better in its different areas of your life. Thank you so much Dr.
Thank you!
Thank you for the feedback. Make sure you visit the complete Breast Cancer School for Patients. Same video lessons, but organized in the order of topics you will experience them. www.breastcancercourse.org/
I would suggest that you address the cardiac and lung side effects in left breast cancer
Jacqueline Linich what do you mean ? Asking because mine cancer is in my left Brest . Invasive ductal carcinoma
This!!
I had Pneumonitis from radiation to lung tissue around or behind breast.
U are the best 🙂
Dr. Does necrosis confirm high grade DCIS? And can genomic testing be performed on biopsied tissue?
Does Kadcyla treatment (14 IV infusions, every 3 weeks) after having a total mastectomy would help to avoid having radiation treatment? Previous to the mastectomy, there was 6 sessions of chemotherapy also.
As an 89 year old in good general health with a clear brain, can I have a lumpectomy with no radiation on th grounds that my life expectancy is pretty ahort anyway?! I prefer quality of life to quantity! Endless trips to and from a hospital not nearby is not quality of life for me, and only worth it if I were young.
Talk with your oncologist. Depending on your individual cancer ( size, type, etc), and other things (oncotype score, etc), along with your age and quality of life question, it may be possible to opt out of radiation.
Very helpful although I found your video(s) only after day 1 of 5 brachytherapy radiation for my stage 0, grade 3, pea size mass. I am surprised that radiation is used for a stage 0/non invasive, small cancer. I had 5 mm clear margins with lumpectomy. I am 67 and otherwise very healthy. The MDs at the hospital I'm using said the grade 3 is why I'm receiving radiation. I have declined the hormone blocker (AI) med although my pathology revealed E/P positive.
Dr,I am doing chemo before surgery, surgery, radiation then pill.
Hello Doctor is ER/PR Positve and Her2 is Negative. Do you still take hormone therapy like Tamoxifine? Thank you hope seing response to my question..
Is it a problem having radiation on my left breast if I havehad a heart operation.
I love this video learning a lot and doesn't matter watching this again and again.
I'm very lucky to have come in contact with DR RORPOPOR HERBAL on TH-cam in curing my breast cancer, I almost gave up in life but after using his herbal medication I feel just like every normal human and I'm so grateful
I'm very lucky to have come in contact with DR RORPOPOR HERBAL on TH-cam in curing my breast cancer, I almost gave up in life but after using his herbal medication I feel just like every normal human and I'm so grateful
Can I avoid radiation after surgery (I had 6 sections of chemotherapy already) if on top of DCIS I have breast Paget’s disease?
I'm so excited i cured my breast cancer with Dr Aluda herbal supplement.You can also visit his channel on TH-cam #draluda he also cures HSV 1&2 and HPV..
Hello dr my mother got mastectomy surgery it been 1 month after surgery is it really need radiation for my mom... My mother had some health issues like diabetes and blood pressure is there any risk for my mother her age is 50 plz suggest me....
Radiotherapy also might be recommended after mastectomy if there is lymphovascular invasion.
dr never talk about mataplastic breast cancer witch is rare
I’m 38 yrs old diagnosed with triple negative stage 3 grade 3 IDC neoadjuvant chemotherapy and I’m only half way through chemo and my tumor is gone! Will I still need radiation if my tumor is shrunk that much to not feel it anymore? I will be having a bilateral mastectomy because I’m BRCA2 also. Idk if I want radiation because they said I can have implants if I have radiation..
I would also like to know.. You and I have the same diagnosis. I finish my Chemo Tuesday and then surgery. My Chemo and Letrozole shrunk my breast tumor and axillary lymph node tumors (only had 2) So I am also curious
I had a stage 1a grade 2 cancer did a lumpectomy.with an onco score of 30. I am 77. They wouldn't do chemo said too old and no radiation told me that woman Mt age don't need it. Went someplace else and now doing radiation
It was idc no lymph nodes
So Radiation is not required when the size of the tumor is less than 2 CM. And no lymph node involvement and Mastectomy has been done.
My mother had 2.1cm size tumor and didn't do radiation 😮 your comment scares me
Hello dr Ihave a question I’m cancer survivor I had breast cancer stage 3 I took chemo ,mastectomy then radtion. My question why they gave me radtion if there is no breast and they removed all the lemph nodes in the effected area . So how cancer will recurrence in the same area after mastectomy . The bad things no one talk about the side effects of radtion . It’s worst than chemo. And if the cancer can recurrence why cancer patients take radtion . The side effects is the worst there is no any benefit of radtion. I regretted that I took radtion
Hi can you please let me know i should do the radiation or not I’m stage 3
I have met many patients with breast lumps recurrence after radiation treatment. Most doctors are so theoretical in treating their patients.
Hello, Dr I always watch ur video & I learned a lot frm it. I am frm d Phillip pines. I am a stage 2 & had mastectomy. I am still undergoing chemotherapy. I already had my 8th session of it. How long shd I need to take more of my chemotherapy? Hoping 2 give me light on this issue. Thank you Dr.
@@nargeskhoshdel1964 oh I’m sorry Isaw your comment now. Ihope you didn’t take it
@@mspoojasharma14 they know all the side effects but they don’t tell the patients that.
What if you have Breast cancer stage 1 with no lymph node-positive do you have to have radiation.
I had a lumpectomy last month and have to have 5 to 6 weeks radiation but am going to take potassium iodine pills and rub my stomach with iodine which helps prevent side effects of immune system, lungs, heart and intestines
@@donnabaez1808 thank you for the information.
See the study from the University of Michigan.
Hi doctor, thank u sooo much for ur very informative videos. But I have a question, my mom actually has breast cancer and she has already undergone a mastectomy. U said in ur video that a radiation will likely be recommended if it is determined that a there are a lot of lymph nodes affected.
I would just like to know what ‘a lot’ means? Because my mom has 9 out of 11 harvested lymph nodes that is positive. But in the medical abstract, it says there that those 9 are ‘partially’ affected.
I really hope that u can help me here. This coming Wednesday, we will already be going back to our breast cancer oncologist. Thank you in advance!
Rennel,
Thank you for subscribing! We just launched the youtube site and website and you are one of our first subscribers.
Unfortunately, I cannot answer health questions but you might find more information at our radiation course at www.breastcancercourse.org. There are excellent links at the bottom of every page (and videos) that may connect you with the best evidence based sites. Will say a prayer for your mother.
I had a double mastectomy and my tumor was very large but my tumor was removed also but 1 if my lymph node that was infected with cancer was removed so do I necessarily have to do radiation
Go for radiation it will prevent future reoccurrence
Just found out my wife has invasive ductal carcinoma on her right breast about 3 to 4 cm large. Found out that it is estrogen receptor positive progesterone receptor negative . Her2/neu:+. She had a mammogram last March and it never picked it up .
How is your wife now? I have the same and did a mastactomy and radiotheraphy and on hormone treatment ! Please update if you see this
I have something very similar. Still in process of getting treatment. Hope your wife is doing okay!
I had breast cancer in 1999 had a lumpectomy chemo and radiation then again in2011 in same breast double mastectomy and reconstruction no radiation or chemo now in 2023 cancer again in same breast.Notice 12 years apart.Double n mastectomy doesn’t mean you can’t get it again.This time I will be getting a partial mastectomy my implants will be taken out new ones put in.I don’t know if I want radiation.I’m 71 and I just don’t know
I am 77 and doing radiation you have had it 3x I would do all
@@katherineharris2080 Thank you for your reply I have been through it all I don’t want to put my body through chemo and radiation.I did that and it still came back even with a double mastectomy,every 12 years.The tumor is gone and I am taking an estrogen blocker.Good luck to you
Worst thing you can do.
God is the greatest healer there is, not chemo surgery & radiation,because u can apply all those things & you still won't be healed if it's not God's will.
God puts these drs to help us. It doesn’t always work but they do their best to save us. I’m 37 with positive her2 invasive carcinoma and ductal in situ. I am scared as can be. But my faith in the lord and my doctors is getting me through.