I had my lumpectomy in 7-27-09 and started radiation 8-29-09.The content on this site is for informational purposes only. - How long did you stay in bed after the op, if at all? I was able to work … Thanks for any help. How long after a lumpectomy until radiation starts? 6 weeks sounds like the standard. In this retrospective study, 5-year in-breast recurrence averaged 3.8% in women with delays of 0 weeks to beyond 15 weeks, compared with 4.3% in women whose radiation therapy was delayed 15 or more weeks, which did not differ significantly from the overall recurrence rate, said Dr. Froud, a radiation oncologist at the Vancouver Island Cancer Centre. 1821 posts since. I felt good enough to do this. Radiation can start quickly after the consult. If you're concerned that this will be too long, call your surgeon or oncologist for reassurance and see if there's something s/he can do to expedite the appointment if necessary. My rads start date was almost 6 weeks from my lumpectomy. My second lumpectomy was March 3. If you are having chemotherapy, most cancer centres recommend that radiation treatment be delayed until chemotherapy is finished. "According to our data, if you delay radiation by up to 5 months after surgery, it has no effect on the relapse rate," Dr. Froud said. Paradoxically, patients who had lymphatic or perivascular invasion actually had better outcomes. I'm so anxious to get treatment started so I can be finished before my niece's wedding in late June. "Some reports suggest that longer intervals are associated with an increased risk of recurrence, whereas others have found no increased risk." I had to wait an extra week to improve the range of motion with my arm. I actually was very blessed to have felt as good as I did. However, only seven patients had delays beyond 6 months, so we would not want to comment on the safety of delays beyond 20 weeks. I had my lumpectomy on 9-16-11 and my first appt. Univariate analysis showed that the risk of in-breast recurrence increased with grade 3 lesions, absence of lymphatic or vascular invasion, negative estrogen-receptor status, no adjuvant use of tamoxifen (Nolvadex), younger age at diagnosis (35 years or younger), diagnosis in 1994, and treatment center. More than 8 years ago (my first DX), had 3 weeks between surgery & starting chemo, 3 weeks between last chemo & starting rads. Up to 20 weeks, there does not appear to be an adverse … Please consult your healthcare provider with any questions or concerns you may have regarding your condition. Sometimes both kinds of treatment are given together. Long-term side effects can include: Breast changes : The breasts may shrink or become more dense after radiation. - Do you tire easily after the op? I had a hysterectomy two weeks after my lumpectomy- I waited a little longer to start radiation than I otherwise would, started almost 6 weeks after the hysterectomy, almost two months after the lumpectomy and am glad I did it that way.
As you can already see, it's different for each patient. I think you are OK--once you get started it will be every day, so driving to a further facility might make things more difficult. It is generally believed that radiation treatment should not be delayed longer than 12 weeks after surgery, although there is no proof to support this. Overall, 27.5% of patients had lymphatic or perivascular invasion. The findings may also reflect treatment consistency throughout the province, Dr. Froud added, due to the use of provincial treatment guidelines with 95% adherence, according to data from the British Columbia Cancer Agency. G. Report this post; Reply; rileyroo. This review, he said, involved a large cohort of women, many of whom delayed initiation of radiation for more than 8 weeks after definitive surgery. I hope this answers your question.
They want to be sure you have healed from your surgery. "There is conflicting evidence regarding the effect of the time interval between definitive surgery and the start of radiation therapy on in-breast recurrence of cancer," he said. I had the notion that feeling good through the last two chemos meant that I had already beaten the cancer. 6 Sep 2018 18:20 How … I have seen radiation given beyond that (up to 6 months) when issues arise, such as wound complications like infections or poor wound healing, but typically 3 months is about the most. I started my radiation about 6 weeks after chemo. During this period, the province had only two radiation therapy centers, and delays after surgery for breast cancer were common.
Went through the simulator a week ago today and was told it would be about a week before they called me back. "According to our data, if you delay radiation by up to 5 months after surgery, it has no effect on the relapse rate," Dr. Froud said. The majority of patients fell into intervals of 6 to 8 weeks and 9 to 11 weeks (see table). Radiation can start quickly after the consult. It took 2 weeks to get that appt. Use of this online service is subject to the disclaimer and the terms and conditions. They may have set the appointment knowing you will be worked into the daily schedule soon after.
However, there is no evidence that this improves the outcome, … Also, the onc. 6 weeks sounds like the standard. No significant between-group differences were found.