Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Breast Cancer (Expert Forum)
Info require on Radiation Therapy
Questions posted in the Breast Cancer Forum are answered by medical professionals from The Cleveland Clinic. Topics include Breast Biopsy, Chemotherapy, Hormone Therapy, Lumps, Lumpectomy, Lymph node dissection, Lymphedema, Mammograms, Mastectomy, Radiation Therapy, Reconstruction, Self Breast Exam, and Surgery.
Info require on Radiation Therapy
by Shahworld, Sep 15, 2005 12:00AM
How many days radiation therapy takes? [EG on seating or 18 weeks seating with 10-15 min a day]
What are its side effects?
Even if mild does of radiation is require then too?
Base on following histo repot what is best way.
Histo pathology report
Received a specimen of needle localized right breast lumpectomy measuring 12.5 X 11 X 4.5 cm with a skin ellipse measuring 1.5 cm. On serial section & subsequent mammography, of micro calcification are identified. Grossly the corresponding area revel presence of an ill define firm white. Lesion measuring 1.6 X 1 X cm. Representative sections from this areas are submitted. Over line skin & abjection breast are grossly unremarkable.
Various cut margins are
Superior cut margin: 2.8 cm
Inferior CM: 2.2 cm
Medical cut margin: 3.8 cm
Lateral cut margin: 3.0 cm
Anterior cut margin: 1.2 cm
Posterior cut margin: 1.0 cm
Away from wide area
Also received axilla 14 node are dissected. Largest measuring 1.4 cm in diameter. Grossly unremarkable.
Apical nodes : single node dissected: 08 cm. In diameter grossly unremarkable.
Microscopic description.
Right breast lumpectomy:
= Multiple section taken from areas corresponding to mammography micro calcification show extensive cormedo pre cribiform DCIS of high nuclear grade with a small focus of infiltrating duct carcinoma, grade – III.
= Modified R.B. score = 3 + 3+ 2 = 8.
= EIC is seen
= All cut margins are free of tumor.
= Axillaries node: 14 Reactive nodes
= Apical Node: Single negative node
= ER – negative
What are its side effects?
Even if mild does of radiation is require then too?
Base on following histo repot what is best way.
Histo pathology report
Received a specimen of needle localized right breast lumpectomy measuring 12.5 X 11 X 4.5 cm with a skin ellipse measuring 1.5 cm. On serial section & subsequent mammography, of micro calcification are identified. Grossly the corresponding area revel presence of an ill define firm white. Lesion measuring 1.6 X 1 X cm. Representative sections from this areas are submitted. Over line skin & abjection breast are grossly unremarkable.
Various cut margins are
Superior cut margin: 2.8 cm
Inferior CM: 2.2 cm
Medical cut margin: 3.8 cm
Lateral cut margin: 3.0 cm
Anterior cut margin: 1.2 cm
Posterior cut margin: 1.0 cm
Away from wide area
Also received axilla 14 node are dissected. Largest measuring 1.4 cm in diameter. Grossly unremarkable.
Apical nodes : single node dissected: 08 cm. In diameter grossly unremarkable.
Microscopic description.
Right breast lumpectomy:
= Multiple section taken from areas corresponding to mammography micro calcification show extensive cormedo pre cribiform DCIS of high nuclear grade with a small focus of infiltrating duct carcinoma, grade – III.
= Modified R.B. score = 3 + 3+ 2 = 8.
= EIC is seen
= All cut margins are free of tumor.
= Axillaries node: 14 Reactive nodes
= Apical Node: Single negative node
= ER – negative
Doctor's Answer
by CCF-RN,MSN-rf, Sep 15, 2005 12:00AM
Dear shahworld: Radiation therapy is prescribed by a radiation oncologist. Dose (the total amount of radiation) and fractionation (the way the dose is divided - that helps to determine how long the radiation will take) are determined by the location to be radiated and the type of equipment used. The common side effects of radiation to the breast area are general fatigue and some skin irritation. The radiation oncologist will be able to discuss the specifics of the recommended radiation therapy as it relates to the patient as well as the risks and benefits.
