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Breast Cancer (Expert Forum)
Ribs weakened by Radiation
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.
Ribs weakened by Radiation
by Osteoradionecrosis, Dec 27, 2006 12:00AM
In 2003, I had a lumpectomy,lymph node disection, chemo, and radiation. The radiation deformed my breast and weakened my ribs. Three ribs fractured (underarm). Presently I'm trying Hyperbaric Oxygen Therapy and Zometa. Also considering nerve blocks. My goal is to heal and have breast reconstruction with a tissue expander and implant. Any suggestions on how to strengthen ribs to allow the use of the tissue expander?
Doctor's Answer
by CCF-RN,MSN-rf, Dec 29, 2006 12:00AM
Dear osteoradionecrosis: Osteoradionecrosis is a condition of bone injury caused by high doses of radiation. It is believed that the blood supply to the bone is reduced such that the bone damage exceeds the bones ability to repair itself. It is most common in the mandible, occurring after radiation to the jaw and is often triggered by tooth extraction, although it can occur in any area that has received high doses of radiation and may also occur spontaneously. To date, there are no "cures" for this condition. Some have responded to hyperbaric oxygen therapy. You might discuss options for reconstruction with a plastic surgeon who is experienced in dealing with tissue that has previously been radiated.
