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Dr. Brian Lawenda

Radiation Oncology
Kennewick, WA
25 years experience male

Locations

21st Century Oncology/Northwest Cancer Clinic

Kennewick, WA

Address

7379, W Deschutes Ave, Kennewick, WA
Directions

My office hours

Wednesday: 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 32-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Surgery: Salivary gland tumors are typically treated with surgery. This can entail removing the gland and possibly lymph nodes in the area. Depending on the ex... Read More
A 46-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Depends...: There are different types of cancers of the bone. The 3 most common primary bone cancers are osteosarcoma, chondrosarcoma and ewing sarcoma. Cancers t... Read More
A 30-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Depends on the type: Gastrointestinal tumors take years to develop, but since they are not located in places you can see (and often, not feel) they can grow quietly withou... Read More
A 38-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
A common skin cancer: Basal cell carcinoma is the most common skin cancer type. It is frequently slow growing. They rarely metastasize. Typically, they occur in areas of th... Read More
A 34-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Depends: Surgery is often the first treatment in managing mesothelioma. Radiation can be used to treat the areas that the surgeon couldn't remove entirely or h... Read More
A 54-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
CRP is non-specific : Elevations in CRP are very non-specific, as many things can lead to increased production of the inflammatory blood marker: infections, trauma, burns, ... Read More
A 47-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 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
A 33-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Integrative oncology: Most oncologists consider legitimate therapies those that are safe, effective & published in high quality peer reviewed journals. There are many thera... Read More
A 48-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Generally, no: If your margins were clear and there were no involved metastatic lymph nodes, then we would not recommend any radiation therapy.
A 31-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Nutrition & bowel fx: After a total gastrectomy, nutritional problems can occur from nutrient deficiencies due to malabsorption in the gut. The bowels tend to move more qui... Read More
A 46-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
It is allowed & safe: All radiation workers are monitored closely for their exposure to radiation dose. It is very rare for a radiation therapist to come close to the estab... Read More
A 38-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Yes: The vp shunt is not directly effected by the radiation treatment. Indirectly, a shunt can be blocked by pressure placed on it from surrounding tissues... Read More
A 38-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 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
A 22-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 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.
A 30-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 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
A 32-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 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
A 21-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Depends: Tumors can arise anywhere in the body (blood, lymph nodes, organs, bones, soft tissues...).
A 48-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 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
A 40-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 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
A 32-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 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
A 34-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 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
A 40-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Pain, etc.: The tissues of the head and neck can be very sensitive to radiation. Depending on the site(s) treated and the dose received by those tissues, one can ... Read More
A 35-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Depends: Radiation can cause a variety of side effects and complications when treating the brain. These depend on the dose, areas of the brain treated, cancer ... Read More
A 43-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Depends on stage: Following surgery (for stage 1), either radiation therapy or chemotherapy gives excellent long term results. The side effects of both treatments are q... Read More
A 42-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Possible, but rare: Have your doctor exam the breast. It is very rare for breast cancer to present at such a young age.
A 43-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Depends...: These rare tumors affect the retina, the main sensory organ at the back of the eye. Depending on the extent of the involvement of the tumor, the child... Read More
A 28-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Either: Both of this technologies do essentially the same thing. Although these two machines look different, their ability to accurately and rapidly treat mos... Read More
A 30-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
46 cases/yr in 100K: The risk of developing cancer of the colon and rectum is low (46 cases out of 100k population per year, in the us.) this comes from large population ... Read More
A 44-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Dyspnea, cough: Osteosarcoma is rare cancer of the bone. When it metastasizes, one of the first places it may show up is in the lungs. If these metastatic lesions are... Read More
A 51-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Not likely: Esophageal cancer is a fast growing cancer and would likely be very advanced after 1.5 years of symptoms.
A 48-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Depends: Most oncologists consider legitimate therapies those that are safe, effective & published in high quality peer reviewed journals. There are many thera... Read More
A 33-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Yes, but VERY rare: The risk of a breast cancer developing in a child is extremely rare.
A 34-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Not likely: Although radiation therapy has been around for many years, it continues to be very important for the treatment of many cancer types.
A 32-year-old male asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Depends: If it is not bothering you, you leave it alone. You will likely pass it. If it is causing pain, infection or obstruction, it needs to be treated.
A 52-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Yes: Certain cancer drugs are known to be toxic to the kidneys, which is why your kidney function is closely monitored on them.
A female asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Years: Cancer, in general, takes many years-to-decades to develop. An infection with h. Pylori may never cause a cancerous change in the stomach.
A 45-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Depends: Some cancers grow very slowly or spread only locally if they recur. More aggressive cancers can lead to metastatic disease or locally invasive disease... Read More
A 19-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Days-to-months: Depending on the cause of the swelling of the lymph nodes, they can last for days-to-months (for infections.).
A 52-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Exercise: The best defense against chronic diseases (including cancer) is living a healthful lifestyle (i.e. Eating an anti-inflammatory diet, exercise, stress... Read More
A 21-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
No staging: Most brain tumors are classified by their degree of resectability. Treatment outcomes are variable depending on the type of tumor (pathology), extent ... Read More
A 23-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Not likely : It is possible that these blue skin spots could be related to your childhood cancer, but it is not likely as you are so far out from your treatment. T... Read More
A 33-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Could be adrenals: Adrenal hormone deficiency can also cause these symptoms.
A 32-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
None: The terms are often used interchangeably.
A 30-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Very low risk: It is true that one of the risk factors for developing a cancer is exposure to radiation, including certain diagnostic studies (i.e. Ct scans, x-rays.... Read More
A 22-year-old male asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Likely normal: Any coloration of the skin (or mucosa, in your case) that does not change over time is most likely normal for you. Nevertheless, any time you notice a... Read More
A 40-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Yes: This depends on the cancer type, but most early stage cancers have the potential to spread if not treated.
A 31-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
No: The science behind this theory is not strong.
A 30-year-old member asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Not exactly: Flaxseed is a natural estrogen, which may actually reduce the risk of prostate cancer growth. It is also rich in omega three fatty acids, which may re... Read More
A 18-year-old female asked:
Dr. Brian Lawenda
Radiation Oncology 25 years experience
Depends...: If this cancer is a primary stage 4 liver cancer, treatments consist mainly of chemotherapy drugs, biologic drugs, radiation therapy or other palliati... Read More

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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
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less