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Radiation to the entire affected breast is called whole breast radiation. Types and schedules of external beam radiation for breast cancer Whole breast radiation Some treatments after surgery, like hormone therapy or HER2 targeted therapy, can be given at the same time as radiation. If you are getting chemotherapy as well, radiation treatments are usually delayed until chemotherapy is done. If you will need external beam radiation therapy after surgery, it is usually not started until your surgery site has healed, which often takes a month or longer. Sometimes, the area treated might also include the nodes above the collarbone (supraclavicular lymph nodes) and the nodes beneath the breast bone in the center of the chest (internal mammary lymph nodes). If cancer was found in the lymph nodes under the arm (axillary lymph nodes), this area may be given radiation, as well.Most women don’t notice different side effects from boost radiation than from whole breast radiation. It uses the same machine, with lower amounts of radiation aimed at the tumor bed. The boost is often given after the treatments to the whole breast have ended. An extra boost of radiation to the area in the breast where the cancer was removed (called the tumor bed) is often given if there is a high risk of the cancer coming back. If you had BCS, you will most likely have radiation to the entire breast (called whole breast radiation).

If you had a mastectomy and no lymph nodes had cancer cells, radiation will be focused on the chest wall, the mastectomy scar, and the places where any drains exited the body after surgery.

Which areas need radiation depends on whether you had a mastectomy or breast-conserving surgery (BCS) and if the cancer has reached nearby lymph nodes. A machine outside the body focuses the radiation on the area affected by the cancer. The main types of radiation therapy that can be used to treat breast cancer are:ĮBRT is the most common type of radiation therapy for women with breast cancer.

Types of radiation therapy for breast cancer

If cancer has spread to other parts of the body, such as the bones, spinal cord, or brain.

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After a mastectomy, especially if the cancer was larger than 5 cm (about 2 inches), if cancer is found in many lymph nodes, or if certain surgical margins, such as the skin or muscle, have cancer cells.

After breast-conserving surgery (BCS), to help lower the chance that the cancer will come back in the same breast or nearby lymph nodes.Some women with breast cancer will need radiation, in addition to other treatments.ĭepending on the breast cancer's stage and other factors, radiation therapy can be used in several situations: Radiation therapy is treatment with high-energy rays (or particles) that destroy cancer cells.

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