Localized breast radiation after lumpectomy

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Radiation therapy also called radiotherapy uses high-energy rays to kill cancer cells. It affects cells only in the part of the body that is treated with the radiation. Breast cancer radiation therapy may be used to destroy any remaining mutated cells that remain in the breast or armpit area after surgery.

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The study found that those who started radiation treatment more than six weeks after breast-conserving surgery were more likely to have a local recurrence than those whose radiation treatment started within six weeks of surgery. Post-surgical radiotherapy is designed to destroy remaining cancer cells following the removal of a localized breast tumour. Punglia said four to six weeks after surgery is widely viewed as a safe interval for beginning radiotherapy.

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Breast cancer is the most common malignancy in women, and most patients will present with early- stage disease. Multiple clinical trials have established the oncologic equivalence of the various treatment options available to these patients; however, each treatment approach is associated with varying degrees of complication rates, costs, and patient satisfaction. For example, a given intervention may result in high patient satisfaction at the expense of in- creased cost and complications.

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DCIS ductal carcinoma in situ is the most common form of non-invasive breast cancer and is considered stage 0 cancer. DCIS usually is treated with surgery to remove the cancer -- lumpectomy in most cases. After surgery, hormonal therapy may be recommended if the DCIS is hormone-receptor-positive most are.

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Standard radiation therapy also called radiotherapy uses targeted, high-energy X-rays to kill cancer cells. Some emerging radiation therapy techniques use other forms of radiation to kill cancer cells. The goal of radiation therapy is to kill any cancer that might be left in or around the breast or nearby lymph nodes after surgery.

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Lumpectomy, also known as breast-conserving surgery, is the surgical removal of a cancerous lump or tumor in the breast, along with a small margin of the surrounding normal breast tissue. Lumpectomy may also be called wide excision biopsy, breast conserving therapy or quadrantectomy this latter term is used when up to one fourth of the breast is removed. The procedure is often performed on women with small or localized breast cancers and can be an attractive surgical treatment option for breast cancer because it allows women to maintain most of their breast after surgery.

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The American Cancer Society estimates that more thannew cases of invasive breast cancer may be diagnosed in It is now possible to detect most breast cancers at a very early stage. With early detection and improved treatments more women are surviving breast cancer.

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For many patients with breast cancer, radiation therapy is an important aspect of treatment. Most commonly, radiation is used after surgical removal of breast cancer to kill any remaining cancer cells. Radiation therapy damages DNA and kills cells in a particular area the "field" of radiation.

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External beam radiation uses high-powered beams of energy to kill cancer cells. Beams of radiation are precisely aimed at the cancer using a machine that moves around your body. Radiation therapy for breast cancer uses high-energy X-rays, protons or other particles to kill cancer cells.

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Some women with breast cancer will need radiation, often in addition to other treatments. The need for radiation depends on what type of surgery you had, whether your cancer has spread to the lymph nodes or somewhere else in your body, and in some cases, your age. Tumors that are large or involve the skin might also need radiation. You could have just one type of radiation, or a combination of different types.

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