Radiation therapy

[Jaquta]

Hi

Both my surgeon and oncologist have strongly recommended radiation therapy.

I was told that my risk following radiation therapy will be 10-15% for dcis and +/- 4% for invasive breast cancer.
My current risk is 30% for dcis and 8% for invasive cancer.

Does this really warrant radiation therapy?

Also, how much flexibility is there for weight loss during radiation therapy?  Is a one kilogram weight loss per week during radiation therapy (proposed 5 weeks) acceptable?

I have borderline personality disorder and it is making this decision so much harder.  I am severely anxious, I don't like people touching me and I am extremely sensitive about my weight and body image.  My quality of life is so poor anyway I am unsure whether to proceed with the treatment.  I can't see long-term either which isn't helping.

Thanks in advance for any advice or suggestions.

J

[Cleveland Clinic]

Dear Jaqujta, Over the internet we cannot advise you specifically.  However in general, radiation therapy is recommended to treat the remaining breast tissue following lumpectomy for treatment of breast cancer.

During cancer treatment we generally recommend maintaining a steady weight - meaning not to increase or decrease weight by more than 10% of baseline.  You may want to have a discussion with a registered dietician who can discuss and advise you regarding your specific nutrition concerns during treatment.

[laurynann]

A related discussion, anxiety was started.

[Jaquta]

Thank you for your feedback.

I personally never expected this decision to be so difficult.  I expect complications following surgery (length of time to wake up from GA and a breast abscess) may have affected my mood and are making this decision making process challenging.

I expect weight may be an issue that will need monitoring (and managing).
10% gives a little room for flexibility.

Thanks again for your feedback and time.

J