• cmb's Avatar

    Radiation help......

    Asked by cmb on Friday, May 24, 2013

    Radiation help......

    OK did my chemo had my MX now one Dr opinion says he recommends radiation to right breast BC I have 15% reoccurence risk and radiation can lower that to less than 5%...... so if I do I can NOT have implant surgery has to be flap surgery! So have any of you decided NOT to do radiation?? This is only a guarantee for that spot not my entire body! I need help deciding!! Have anyone decided for and against this....... I have wrote pros and cons now need advice. I am only 33 mother of a 4 yr old and great husband!!!!!!

    10 Answers from the Community

    10 answers
    • cris' Avatar

      I had a bilateral mastectomy w/immediate silicone implants on 3/4/13 and I am on my second week of radiation, My doctor told me there would be no problem having my implants put in, & then do radiation. I hope this helps if you have any questions I will try to help. good luck..

      over 3 years ago
    • gwendolyn's Avatar

      I had mastectomy with tissue expander put in (to be replaced later with permanent implant.) The doctors and I knew before my surgery that I was going to need radiation and I was given implant as a reconstruction option. The only issues I had were that the rad onc wanted my fully-expanded tissue expander reduced so she could get a better angle. Then after radiation, re-expanding the tissue expander was extra painful because the tissues were tightened up.

      Get a second opinion about your reconstruction options. Radiation with implants is done routinely by many doctors.

      over 3 years ago
    • karen1956's Avatar

      Bilat with TE then chemo and rads.....waited 7 months post rads to swap TE for silicone implants....rads does make it more difficult but not impossible....maybe get a 2nd opinion for peace of mine

      over 3 years ago
    • JudyW's Avatar

      I had immediate reconstruction with my bilateral mastectomy and then had extensive radiation. No one ever said anything about the implants being a problem. In fact, the implant on the non-radiated side looks worse than the one on the radiated side!

      over 3 years ago
    • hikerchick's Avatar

      Every situation is different so the most important thing is to look at YOURS. I had a second opinion by another radiation onc and then needed a third as a tie breaker. Then I really had to decide for myself, armed with as much info in my particular case as possible. But my question was not about reconstruction.... I happily chose not to get it. My question was whether or not to get radiation on the right side after double MX. I chose not to, because of very specific details. That was 2 and a half years ago and all is well.
      Maybe you want another radiation onc opinion?

      over 3 years ago
    • debco148's Avatar

      First, get another opinion.. did you have any lymph involvement? If it is recommended, anything that is guaranteed to lower change of reocurrance, I'd do.
      Second, I would also check with another plastic surgeon. The flap surgery isn't really done any more, maybe you are talking about DIEP where they take fat from the stomach. I had major radiation on my left side and have had to have scar tissue removed, but my PS feels the DIEP is the best method. It will feel the most natural and they take a bit of fat from the stomach, so you need to make sure you are not still wanting to have more children, and really consider this. Also, will you have to take tamoxifen? Best of luck!

      over 3 years ago
    • cmb's Avatar

      I am so PLEASED to read some of these! It raises so many questions for my drs and 2nd opinion will prob be done!!! One answer was about having more kids...Sadly before cancer I had female issues so my daughter is a miracle herself and after having her I had a full hysterectomy, which was about 3 yrs before even finding out about the cancer. So all that was taken care of before and my cancer was NOT hormone related. I have many more questions I will be asking the drs thanks to all these GREAT answers! Thank you all so VERY much! This board is o helpful for MANY MANY reasons! I would suggest caregivers, patients, anyone needing help to come here! LOVE IT!!!! THANK YOU ALL!!!!!

      over 3 years ago
    • Nonnie917's Avatar

      I didn't have to have either chemo or radio because mine was caught at stage 0 and localized and non-invasive. I don't now how to advise you, but your doctor is right about not doing reconstruction until you have finished your chemo or radio. Seems those treatments can destroy what the doctor has done for you reconstructively. Get a second opinion, if you have to, but do your research and be sure of your decision before you do it. I had stomach fat put in for breasts, but it wasn't enough to make breasts so I am having silicone implants on the 24th of June. They have changed the way those things are made and they are not dangerous anymore of leaks. They are double walled and filled with a gel. So even if you did spring a leak the gel forms and clog and stays put where it is at and does not spread. They are softer than saline so you feel more natural. Good luck in whatever decision you make and know that getting a second opinion is probably a good idea, if you have doubts.

      over 3 years ago
    • SueRae1's Avatar

      I agree with others, get another opinion before you make a final decision. Best of luck and keep us posted.

      over 3 years ago
    • Ydnar2xer's Avatar

      I may be having DIEP reconstruction in the fall. The appealing factors of it (to me, anyway) are that no muscle is used, just fat--and you get a tummy tuck besides. I've heard it is a BIG operation--about 8 hours of surgery--plus two more minor surgeries--but I've also seen photos of results and the breasts look very natural and stomachs are taut! That sounds good to me. (BTW, I can't have implants because I had radiation with my first breast cancer, 10 years ago) Good luck w/your decision process.

      over 3 years ago

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