Dr. Brian Lawenda

Radiation Oncology
Kennewick, WA
26 years experience male

Locations

21st Century Oncology/Northwest Cancer Clinic

Kennewick, WA

Address

7379, W Deschutes Ave, Kennewick, WA
Directions

My office hours

Thursday: 7:00am - 5:00pm
Show more

Practice website

Insurances accepted

Humana

Medicare

UnitedHealthcare

Aetna

Medicaid

Tricare

About

Bio

I received my training in radiation oncology at Harvard Medical School/Massachusetts General Hospital (Dana Farber Cancer Institute), where I was Chief Resident. I am the medical director at 21st Century Oncology/Northwest Cancer Clinic, in Kennewick, Washington. Previously, I served as a Commander, in the United States Navy, during which time I was the director of the multi-disciplinary Breast Health Center and Radiation Oncology clinic (Naval Medical Center San Diego). I have an strong interest in integrative oncology, a specialty of cancer care that combines conventional oncologic treatments with evidence-based complementary therapies with a rational approach that focuses on the entire patient: mind, body and spirit. I am an Adjunct Assistant Professor in the Department of Radiation Oncology, at Indiana University School of Medicine and am on the Board of Trustees of the Pacific College of Oriental Medicine. I am the founder of IntegrativeOncology-Essentials (www.integrativeoncology-essentials.com).

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Radiation Oncology

Integrative Medicine

Doctor Q&A

145 Answers
179 Agrees
The number of answers this doctor has agreed with.
A 46-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Tumors bleed: It is possible to detect blood in the stool using a fecal occult blood test (fobt). Bleeding can be caused by many conditions (i.e. Polyps, cancer, he... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
No: Lymphomas are cancers of white blood cells (t or b cells.) aside from hiv, sexually transmitted diseases are not known to be a risk factor for lymphom... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Anti-cancer diet: As with any cancer, it is preferable to obtain most of you nutrition from whole (unprocessed, organic) foods, low in 'bad' fats and 'simple' carbohydr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Depends : Worldwide incidence: 30 out of 1000 people the highest incidence is: 150-300 out of 1000 in italy, greece, and among americans of italian or greek de... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Yes: Although all radiation oncologists have received pediatric radiation oncology training, a specialist in this area is available at most academic center... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
To ensure accuracy: Radiation therapy works by focusing x-rays onto a precise area. Immobilization helps us better ensure that we deliver the intended dose to the exact l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Typically, no: Radiation can cause cells to become precancerous, and potentially develop into a cancer ("secondary malignancy.") pre-existing cancers do not generall... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Kills cancer cells: Radiation uses high-energy x-rays that are focused on the tumor. They kill cancer cells by damaging their dna. The treatment is generally delivered da... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Depends: The microscopic analysis of the tissue can be categorized by a grading system of factors that suggest whether a tumor is likely to be more or less "ag... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Depends: The side effects of radiation therapy depend on what part of the body is being irradiated. Radiation causes inflammation in the affected tissues, lead... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Depends : The bone marrow is the most sensitive tissue in bone, and is responsible for making important blood cells. Radiation can suppress these tissues from w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 56-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Abnormality in DNA: Our genes (dna) are susceptible to developing abnormalities, called mutations. These mutations can be inherited from our parents or acquired after we ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Yes: Liver enzymes can be abnormal whenever the liver is affected. This can occur from direct injury or inflammation to the liver (primary cancers of the l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Depends...: Late stage cancers can cause symptoms due to involvement of tissues in the area of the tumor or distantly. They can place a large metabolic strain on ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Most likely benign: Pediatric cancer survivors still get the same infections (ie. Viruses, bacteria) that all children get. These infections can be associated with enlarg... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 73-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Depends: Although cancers can "appear" very quickly, they may have been present for years to decades before the diagnosis. Anatomical sites that are not easily... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Yes, it can...but: This is a phenomenon known as "accelerated repopulation." radiation biologists have taught us that we can compensate for this increased cell growth ra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Yes, but low risk: It is estimated that the risk for lung cancer being an inherited genetic condition (hereditary) is very low (less than 5%.) http://lungcancer.About.C... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old male asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Depends on the stage: The most important thing to know in this case is the actual "stage" of the cancer. Metastatic can mean to lymph nodes in the pelvis or elsewhere. Surg... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Surgery : Depending on the extent of the cancer (enchondromas are benign versus chondrosarcomas which are malignant), pathology, stage, limb function, and overa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Typically, yes: If you received external beam radiation therapy (the most common), there will be no radiation concerns for anyone around you. This technology is very ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
It can...: This depends on whether your pelvis was in the radiation fields and what organs might have been affected. The dose to these organs also matters. Ask y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Talk with your doc: There are many possible side effects that can develop during and after radiation treatment. The most important thing to do is be aware of these before... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Depends: The best way to reduce your risk of cancer returning is to get the best treatment, and completing the entire prescribed course. Close follow up after ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Very effective: There are many oncology therapies for treating bone metastases, but none are as effective as radiation therapy in both killing cancer cells and reliev... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
No likely serious: Most likely the serious medical problems you would be concerned about (tumors, aneurysm, etc) have been ruled out by the MRI and ct you had. This is m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Not likely: But, you need to follow this closely with repeat examinations. This abnormal test is a sign of a precancerous condition (likely related to the hpv vir... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
No: The chances of you having cancer at your young age (25) are rare. The odds of a solitary 6mm lung nodule being cancer in your age are even rarer. A bi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Depends: If the cervical infection is hpv, then the answer is 'yes.' other cervical infections are not typically associated with an increased risk of cervical ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
BPA: I think you are refering to a chemical called "bpa." this is commonly found in plastic bottles and metal food packaging. This has been shown to increa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 66-year-old male asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Possibly: Although not a replacement for conventional, evidence based cancer treatments, fermented wheat germ extract looks safe and may have real anti-cancer e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Small risk: According to us national statistics, 22.5 per 100, 000 men and women per year will develop lymphoma. http://seer.cancer.gov/statfacts/html/lymph.html.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Yes: There are lymph nodes in the parotid glands and these can become sites for lymphoma.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Ask your physician: Screening for pancreatic cancer is not routinely done unless your physicians recommend it. These are the screening/diagnostic studies: http://www.Canc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 68-year-old male asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Terminology : Cancers are evaluated by a microscopic assessment of the cells. The cells can vary in their appearance based on a variety of features. If those featur... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Not likely: Developing a calcifying cancer in the tissues of the back between the scapula would be rare. This is likely benign. Keep following it with your physic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Depends: If the tumor is a bone cancer, melanoma, sarcoma or a large skin cancer this could be quite serious. Hopefully hers was small and able to be resected ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Slightly higher risk: 5–10% of pancreatic cancer patients have a family history of pancreatic cancer.
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Not likely: Cancers in the thigh would be very rare.
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Yes, but depends: It takes a few months to recover the loss of blood from a blood draw. If you get frequent blood draws of sufficient volume, you could get anemic. Most... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Unlikely: Most breast cancers do not cause pain. Compression of the breast can be painful with or without any breast masses, cysts, etc.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Depends: Most commonly, nausea may occur after radiating the stomach. Radiation can cause inflammation in the tissues and nerves within and surrounding the sto... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Unfortunately, no: The standard treatments for cancers of the penis include: surgery, radiation therapy, chemotherapy, cryotherapy. Natural medicines fall into the cate... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Depends...many ways: Radiation causes side effects by causing inflammation in the irradiated tissues. This inflammation can lead to a variety of symptoms and side effects ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Damages tumor DNA: Radiation therapy uses high-energy x-rays to kill cancer cells. These x-rays interact with water molecules in the cancer cells, creating chemicals (fr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
TNM Staging: Thyroid cancers are staged based on their size, involvement of surrounding tissues and their spread to lymph nodes or distant tissues. The internatio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Depends: If the radiation therapy is treating any part of the body covered with hair, there is a possibility that you can lose the hair in that region. Your ra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Depends: Tumors can arise anywhere in the body (blood, lymph nodes, organs, bones, soft tissues...).
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Depends: All cancers behave differently based on many factors: type, stage, grade, etc... Although many cancers are able to be cured with treatments, but we c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 26 years experience
Diagnostic vs Treat: Radiology (uses radiography) to diagnose and evaluate the tissues and organs in the body. Radiation therapy uses radiation to treat cancers (and occa... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

5
Recommendations
193
Thank you notes
Nov 26, 2013
Dr. Lawenda is an excellent radiation oncologist. His publications on the use of supplements during radiation therapy is seminal paper.
Feb 22, 2013
Dr. Lawenda is a caring and thoughtful physician who takes excellent care of patients.
HealthTap member
Dec 16, 2012
I came to see Dr. Lawenda (he studied at Harvard) for a second opinion consultation, after having seen another doctor in town for my breast cancer. He and his office staff made me & my husband feel so...Read More
HealthTap member
Thanks for your quick reply! But your last paragraph only defended the physicians ignorance which i questioned and others gave me an over all consensus of being correct
HealthTap member
Thank you, your answer was very helpful! Thank you so much for your reply. I think I will have my cyst removed.
HealthTap member
Thanks for your quick reply! Thank u, but I asked already and he didn't know what that could be.

Education & Training

Medical/Graduate school

Temple University School of Medicine
Graduated 1997MD

Residency

Massachusetts General Hospital

Awards

First place, Academic Research Competition, Naval Medical Center San Diego, San Diego, CA
Foundation Merit Award, American Society of Clinical Oncology
Chief Resident, Massachusetts General Hospital, Department of Radiation Oncology

Affiliations

American Society for Therapeutic Radiology & Oncology
Society for Integrative Oncology
21st Century Oncology
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