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Radiation Therapy

Radiation therapy (RT) is a targeted treatment that uses high-energy X-rays or particles to destroy cancer cells and reduce recurrence risk. It’s a critical component of breast cancer care, often used after surgery (lumpectomy or mastectomy) or for advanced cases.

When Is Radiation Used?

After Breast-Conserving Surgery (Lumpectomy)

  • Standard for most patients to kill residual cancer cells.
  • Reduces local recurrence risk by 50-70%.
  • Required unless: Very low-risk DCIS or elderly with small, hormone-sensitive tumors.

After Mastectomy

  • Recommended if:
    • Tumor >5 cm or lymph node involvement.
    • Positive surgical margins (cancer cells at edge).
    • Aggressive subtypes (e.g., triple-negative, HER2+).

For Advanced/Metastatic Cancer

Palliative RT: Relieves pain from bone/lung/brain metastases.

Types of Radiation Therapy

External Beam Radiation (Most Common)

External Beam Radiation (Most Common)

External Beam Radiation (Most Common)

  • Whole-breast RT: Standard after lumpectomy (5-6 weeks, daily sessions).
  • Accelerated Partial-Breast RT (APBI): Shorter course (1-2 weeks) for select early-stage cancers.
  • Hypofractionated RT: Fewer, higher-dose sessions (3-4 weeks).

Internal Radiation (Brachytherapy)

External Beam Radiation (Most Common)

External Beam Radiation (Most Common)

  • Radioactive seeds/balloons placed inside the breast (e.g., MammoSite).
  • Used for early-stage cancers (5-day treatment).

Advanced Techniques

External Beam Radiation (Most Common)

Advanced Techniques

  • IMRT (Intensity-Modulated RT): Precise targeting, reduces heart/lung exposure.
  • Proton Therapy: Less scatter radiation (used in select cases).

What to Expect During Treatment

Before RT

✔ Simulation Session: CT scan to map treatment area.
✔ Tattoo Marks: Tiny dots to align radiation beams.

During RT (Each Session ~15-30 Mins)

  • Painless (like an X-ray).
  • Weekly check-ins with the radiation oncologist.

After RT

  • Fatigue, skin redness (like sunburn), and mild swelling are common.
  • Most side effects fade within 2-6 weeks after treatment.

FAQs

Q: Can I skip radiation after lumpectomy?

→ No, unless in exceptional cases (e.g., low-risk DCIS). RT cuts recurrence risk by half.

Q: Does radiation cause hair loss?

→ Only in the treated area (e.g., underarm if nodes are targeted).

Q: Can I drive myself to sessions?

→ Yes! Radiation doesn’t impair alertness.

Q: How soon after surgery does RT start?

→ Typically 4-6 weeks post-op (after healing).

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