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All TopicsForum: Radiation Therapy - Before, During and After → Topic: Anyone have boosts at same time as whole breast?

Topic: Anyone have boosts at same time as whole breast?

Forum: Radiation Therapy - Before, During and After — What to expect from treatment and ways to cope with side effects.

Posted on: Jan 26, 2012 11:58 AM

Jennt28 wrote:

My RO has given an option of what she wrote down as SIB irradiation and I can't seem to find much info about it. Essentially instead of having the 28 whole breast and then the 5 boosts afterwards they plan the treatments so that each is whole breast with an extra zap to the boost area at the same time.

This cuts down the number of days for tx to 28 and she said its radiobiologically equivalent to the other way, but I'm concerned to find out if this would give worse cosmetic outcome or worse effects during the process...

Anyone else given this option?

Jenn

Jennt28: 3 x FEC, 12 x weekly Taxol, 12 months Herceptin, RADs after the chemo
Diagnosis: 12/1/2011, IDC, 2cm, Stage IIa, Grade 3, 1/1 nodes, ER+/PR+, HER2+
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Jan 26, 2012 03:52 PM peggy_j wrote:

I haven't heard of this option but like you, I'd be concerned about whether my skin would be more irritated. FWIW, my RO gave me a short break between my full breast rads and the boost, so that my skin would heal and so I could regain some energy. (the fatigue did come the final weeks) I'd be curious if there are studies that prove the long term results are just as effective. You know how it is in medicine. Occasionally things sound good in theory but in practice, well, not so much.


Diagnosis: 2/2011, IDC, <1cm, Stage Ia, Grade 1, 0/3 nodes, ER+/PR+, HER2-
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Jan 27, 2012 03:08 PM duckyb1 wrote:

I had the "whole breast" first, and then the boosts............the method your Dr. is suggesting, was never offered, or mentioned to me............be careful............the way they did mine worked.  What is it they say "if it isn't broke, don't fix it".

Ducky
Diagnosis: 2/15/2011, IDC, 1cm, Grade 1, 0/10 nodes, ER+/PR+, HER2-
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Jan 27, 2012 03:12 PM Jennt28 wrote:

I gather it is a new way using the new type of machine. I finally found a couple of papers on it and it actually looks like a good option. I'm thinking it will be the way I go.

Thanks for your replies :-) Jenn

Jennt28: 3 x FEC, 12 x weekly Taxol, 12 months Herceptin, RADs after the chemo
Diagnosis: 12/1/2011, IDC, 2cm, Stage IIa, Grade 3, 1/1 nodes, ER+/PR+, HER2+
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Jan 29, 2012 09:59 AM Grimbol wrote:

I am doing the final boosts together with the final 5 whole breast tx.  I have to go twice though with 6 hours inbetween, so probably not the same as you are being offered.


Diagnosis: 6/27/2011, IDC, 1cm, Stage I, Grade 3, 0/1 nodes, ER-/PR-, HER2+
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Jan 29, 2012 10:14 AM MiniMacsMom wrote:

Can you post those papers and what hospital you go to?  What kind of machine is it.  I am not sure what my rads process will be, I am not quite half way through chemo, but I would be interested in any info you have :)  Thanks

Diagnosis: 10/25/2011, IDC, 9cm, Stage IIIa, Grade 3, 4/15 nodes + Subclavicular Node, ER+/P+-, HER2-
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Feb 2, 2012 09:24 PM Judy2013 wrote:

I will be doing 25 whole-breast, followed by 5 boosts.  I would also be skeptical of doing them at the same time, especially if you can't find any info about the benefits or long-term results.


Diagnosis: 12/2/2011, IDC, <1cm, Stage Ia, Grade 2, 0/1 nodes, ER+/PR+, HER2-
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Feb 2, 2012 09:36 PM Jennt28 wrote:

Sorry for the delay in getting back on this. I found this paper which actually makes me feel ok with this new method... home.kpn.nl/laan0739/papers/20...

regards Jenn

Jennt28: 3 x FEC, 12 x weekly Taxol, 12 months Herceptin, RADs after the chemo
Diagnosis: 12/1/2011, IDC, 2cm, Stage IIa, Grade 3, 1/1 nodes, ER+/PR+, HER2+
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Jul 8, 2012 01:42 AM Jennt28 wrote:

Just want to check in and say that I'm now 9 days into the 28 days of rads with concurrent boost. There are two extra angles to my treatment each day that are quick zaps for the boost.

No major signs of any problems yet although my skin is getting pretty sensitive...

Jenn

Jennt28: 3 x FEC (done!), 11x weekly Taxol (done!), 12 months Herceptin (now), 28days rads (start 26 June 2012)
Dx 12/1/2011, IDC, 2cm, Stage IIa, Grade 3, 1/1 nodes, ER+/PR+, HER2+Surgery 12/07/2011 Lumpectomy (Right); Lymph Node Removal: Sentinel Lymph Node Dissection (Right)