What does it mean to have radiation therapy after breast-sparing surgery?

Sterilize the breast. The purpose of radiation therapy after lumpectomy is to lower the risk of local recurrence. This can be given from the "outside-in" (external beam) over 4-7 weeks, or, in select cases, over 5 days from the "inside-out" (brachytherapy). Intraoperative radiation therapy is a popular alternative in Europe and is just beginning to gain traction in the US.
No mastectomy. In some types of breast cancer, the tumor is removed without a mastectomy, then x-ray therapy is used to make sure all the tumor is treated.

Related Questions

What all does radiation therapy after breast-sparing surgery involve?

Depends on technique. Classic radiation is given via external beams to whole breast over 6-7 weeks with primarily local affect like mild repeated sunburn (redness, irritation-more extreme may incl. Blistering or peeling). Newer techniques if a larger daily dose cn be given can reduce the time to 3-4 weeks. Other option is accelerated partial breast usually w/implanted device and seeds over 5 days. Read more...
Prevent recurrence. Thi is done to sterilize the breast from any stray cancer cells that may have remained after the resection. It is done to equalize recurrence rates after preserving the breast to those after mastectomy. Read more...

Does radiation therapy affect having breast surgery? I would love to undergo breast reconstruction after my therapy, is that possible?

Reconstruction . Reconstruction after mastectomy and radiation therapy is absolutely possible. First and foremost, remember that radiation following mastectomy contributes significantly to improved disease control and survival for most patients with positive lymph nodes or tumors measuring over 5 cm. While radiation may increase the risk of complications following breast reconstruction, the majority of patients can under successful reconstruction. In general, autogenous flaps are preferred over implants in the setting of radiation. Your surgeon, plastic surgeon and radiation oncologist will work together to achieve optimal results. Read more...
Definitely possible. Yes, you certainly can, but radiation can affect your results, especially if you have reconstruction with breast implants. Tissue flap reconstructions tend to have fewer complications than implant reconstructions in patients that have had radiation. Please discuss this fully with your plastic surgeon. Read more...
Yes. It is a common procedure. Your plastic surgeon will describe the available options. Read more...
Very common. While the best cosmetic results from plastic reconstructive surgery and radiation therapy to the breast or chest wall work against one another this is a very common scenario that is fairly well understood and managed. Xrt is aimed at minimizing risk of cancer coming back. Plastic surgeon and rad onc will explain time table of the two. Basically implants or flaps must wait for 4 months after xrt. Read more...
Breast cancer. Breast reconstruction after radiation in my practice is most commonly performed with a flap like a diep, tug, sgap. The reason is that skin must be added back. If you don't have a flap a tissue expander must be place to help re establish the pocket that existed when the mastectomy was first done. Tissue expander and subsequent implant placement have higher failure rates when XRT has been done. Read more...
You should be able. Most women are candidates for breast reconstruction. In many women who require radiation therapy to treat their breast cancer we often delay their breast reconstruction about 6-12 months after radiation. At that time there are numerous options that are available. Usually using your own tissue is preferable. Ask your plastic surgeon. Read more...
Vascular compromise. Radiation is wonderful at destroying cancer cells, unfortunately, other than targeting the physical area, it is not specific and may destroy local health cells in close proximity to cancer cells. This will increase the local wound complication rate if local tissues are used for the reconstruction and the dr of distant flaps or free flaps may be preferred to bring in healthy tissue. Fat grafting? Read more...

Long term effects of radiation therapy for breast cancer vs surgery?

Very different. If you mean lumpectomy + radiation - the main side effects are some shrinkage of the breast in most cases and some firmness. Some patients have occasional breast pain, but usually not too bad. If the nodes inn the armpit are removed, swelling of the arm may be a possibility. Read more...
Mulltiple. Long term effects of radiation therapy for breast cancer include: radiation fibrosis of lung lymphedema of the affected side upper extremity myocardial injury hypothyroidism brachial plexus injury risk of second neoplasm (radiation induced malignancy). Read more...
Very tolerable today. Long term side effects from breast radiation are much less likely with modern techniques today as opposed to techniques used just nine or ten years ago. It also depends on the doctors skill sets and equipment. It also depends upon whether or not the XRT is only to the breast or also needs i include the lymph nodes under arm and above collar bone. Mostly cosmetic with increased density of breast. Read more...

Is radiation therapy used to treat benign breast tumor? Mom told me she is to undergo 6 weeks radiation. She had a surgery done to take out mass

Radiation. You need to have a talk with mom. Find out her exact diagnosis or even see if you can attend an appt with her. Read more...
Not benign. Radiation is not indicated in the treatment of benign breast tumors. She probably has infiltrating duct all carcinoma or ductal carcinoma in situ. Suggest you go along to her next appointment. Read more...
Sort of. Radiation is sometimes given to treat pre-cancerous lesions called dcis or sometimes lcis. Radiation for dcis drops the chance of developing invasive cancer from 11% to 4%. Read more...

What are my chances of cancer coming back if I have breast-sparing surgery with radiation?

Depends. The risk for recurrence of breast cancer after a lumpectomy and an adjuvant radiation therapy would depend on the stage and the biology of the breast cancer ( estrogen/prgesteron receptor, her2neu status, tumor size, lymph nodes involvement, k1-67 etc). Having an adjuvant radiation therapy after surgery will only reduce the risk for local recurrence of breast cancer to the same breast area. D/w md. Read more...
Depends. The risk of local recurrence following conservative surgery and radiation for breast cancer is slightly higher than with mastectomy but does not affect survival. The risk of distant relapse depends on the stage, grade, presence or absence of biological receptors and number of positive axillary nodes. Higher # of positive nodes portends higher risk of relapse which can be reduced by adjuvant tx. Read more...

What are the chances of the cancer coming back if I had breast-sparing surgery with radiation?

About 1 in 12. On average, ten years after breast-sparing surgery and radiation, 1 in 12 women will have a local recurrence (a cancer that comes back in the same breast.) the good news: even if you have such a recurrence, you are no more likely to die of breast cancer than women who had a mastectomy. Read more...
Low. If you had breast sparing surgery and just radiation most likely you had early stage breast cancer with favorable factors, negative lymph nodes etc. That did not require chemotherapy. There is a good chance 80-90% chance of disease not to come back. You may also be getting anti estrogen therapy that can even improve the odds up to 95% control. Read more...

What are the side effects of breast-sparing surgery and radiation?

Not too many. Surgery with breast sparing and radiation is a very common procedure for small early breast cancers. There will some minor surgical scar, and some women experience temporary breast skin redness or breast swelling with the radiation treatments. It is a very successful treatment in early cancers and avoids complete mastectomy surgery. Read more...

What are side effects of radiation therapy in the breast?

Radiation therapy. Divided into -acute and late effects. Acute changes will include fatigue and skin changes that accumulate gradually within the radiated field over the course of treatment. Redness, soreness, sometimes with peeling off skin. Thickening of skin and breast edema also can happen. Late complication risk is low-may include arm swelling, radiation pneumonitis, nerve injury/brachila plexus etc. Read more...
Skin effect are. The most common during treatment, with redness of the skin in the front of the arm pit, and under the breast. It can range from red like sunburn, to dry and tanned, to loss of the superficial skin, with oozing serum (moist desquamation). Late effects include edema or shrinkage, arm swelling, rarely lung, heart, rib injury. Read more...
Breast Radiation. Side effects during treatment are related to the skin which can get dry, red, peel, tan.The breast can be more tender through the surgery site and there can be sharp shooting pains as well.Over time a diffuse scar tissue will form throughout the breast with the amount different for each lady.Some breasts end up bigger and others smaller.Usually takes two years to settle into permanent size and shape. Read more...

Does radiation therapy affect having breast reconstruction?

Yes. There are two types of breast reconstruction following mastectomy: "flaps", where tissue is transferred from another part of the body to the chest wall, and "implants", where an expander is placed under the chest muscle and slowly inflated to create space for an implant. Radiation therapy affects the skin, making tissue expansion more difficult, but not impossible. With flaps, less of an issue. Read more...
Yes. Radiation can have adverse effects on both implant based reconstruction as well as flap based reconstruction. Radiation can result in wound complications, capsular contracture, fat necrosis, among other things. Unfortunately, you don't always know if you're going to need radiation until after your mastectomy. Read more...
Yes. Radiation always demands extra caution and consideration toward breast reconstruction. Having a surgeon who is experienced and board-certified will help ensure that patient safety and satisfaction are always the primary concern. Read more...
Yes. Radiation affects both implants and flaps in that the surrounding tissue does not heal or stretch as well and has higher complication rates overall. Care should be take with any reconstruction is tissue that has been or will be radiatiated as it will react differently once it has been radiated. Read more...
Yes!-adversely gene- -rally. Prior to the advent of the wound vac and alloderm risk of failure very high but could always use flap recon as a "lifeboat operation". Now, almost any pt can safely choose to have rec. Answer depends somewhat upon whether rad is planned or already done. Read more...
Breast Radiation. Readiation can have mild or severe effects on breast reconstruction. In some cases you may need additional survey to bring healthy tissue from other parts of the body to complete your reconstruction. Read more...
Radiation effects. Radiation can decrease the circulation to breast tissue and can make the tissues "stiffer". As a result, a pre-existing reconstruction can be compromised, or a future reconstruction can be more difficult. Read more...
Breast cancer. I currently recommend that my patients have immediate breast reconstruction regardless of the need for post mastectomy radiation therapy. The simple reasoning is that it is the best opportunity to utilize the breast skin. I prefer to do a diep flap or another flap reconstruction when i know a patient is going to have radiation. I then manage any decrease in size or change in shape with fat graft. Read more...
Yes but +outweigh- Radiation is one of the best treatments available to treat and lower the recurrence rates of breast cancer. Unfortunately it is indiscriminate and will damage both diseases and healthy tissues which may increase the risk of wound healing problems with free flaps or capsular contracture with implants. Fat injections may help to mitigate radiation therapy (early reports). Read more...
Reconstruction. Is complex. It is an operation, it may involve using a foreign body, or tissues from another part of your body. Operations and foreign bodies always have risks. Radiated tissue heals less well because the blood supply is compromised. We have learned to do this. Each case has special aspects. Benefit and risk must be discussed and understood by all. Read more...
Without a doubt. The main goal of breast cancer treatment is to remove the cancer cells. Radiation is often used to decrease the risk of local recurrence. Radiation is indiscriminate in that it kills cancer and normal cells too. The result is tougher, tighter skin that has a reduced blood supply. The incidence of complications associated with breast reconstruction is higher after radiation, esp. With implants. Read more...
In a big way. Radiation doubles the rate of complications in many studies. It causes a vasculitis that impairs blood flow to the tissues for life. Delaying reconstruction for a minimum of 6 months after rt is necessary to minimize the likelihood of early failure of implant reconstruction. Read more...
Possibly. Women who need radiation for their breast cancer can still safely have reconstructions and end up with a good cosmetic result. Radiation can significantly improve the cure rate and should not be avoided due to concerns about reconstruction. There are many ways to combine rt and reconstruction and you should speak with an experienced team. Read more...
Yes. You should not avoid having radiation if it is recommended for your breast cancer treatment. It may make breast reconstruction a bit more challenging but usually does not prevent reconstruction. You should definitely consult a board certified plastic surgeon with experience in breast reconstruction to get more specific information concerning your treatment. Read more...