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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 01:58PM

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

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Jan 26, 2012 05:52PM 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.

Dx 2/2011, IDC, <1cm, Stage Ia, Grade 1, 0/3 nodes, ER+/PR+, HER2-
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Jan 27, 2012 05:08PM 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

Dx 2/15/2011, IDC, 1cm, Stage I, Grade 1, 0/8 nodes, ER+/PR+, HER2-Radiation Therapy 04/25/2011 External
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Jan 27, 2012 05:12PM 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 jennt28.wordpress.com/ - 3 x FEC, 11x weekly Taxol, 12 months Herceptin (end March 2013), 12 days rads (quit), BMX with recon, Tamoxifen

Dx 12/1/2011, IDC, 2cm, Stage IIa, Grade 3, 1/2 nodes, ER+/PR+, HER2+Surgery 12/07/2011 Lumpectomy (Right); Lymph Node Removal: Sentinel Lymph Node Dissection (Right)Surgery 09/28/2012 Mastectomy (Right); Lymph Node Removal: Sentinel Lymph Node Dissection (Right); Prophylactic Mastectomy (Left); Reconstruction: TRAM flap (Both)
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Jan 29, 2012 11:59AM 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.

Dx 6/27/2011, IDC, 1cm, Stage I, Grade 3, 0/1 nodes, ER-/PR-, HER2+
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Jan 29, 2012 12:14PM 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 + Rotter's Node, ER+/P+-, HER2-, BRCA 2+

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Feb 2, 2012 11:24PM 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.

Dx 12/2/2011, IDC, <1cm, Stage Ia, Grade 2, 0/1 nodes, ER+/PR+, HER2-
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Feb 2, 2012 11:36PM 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 jennt28.wordpress.com/ - 3 x FEC, 11x weekly Taxol, 12 months Herceptin (end March 2013), 12 days rads (quit), BMX with recon, Tamoxifen

Dx 12/1/2011, IDC, 2cm, Stage IIa, Grade 3, 1/2 nodes, ER+/PR+, HER2+Surgery 12/07/2011 Lumpectomy (Right); Lymph Node Removal: Sentinel Lymph Node Dissection (Right)Surgery 09/28/2012 Mastectomy (Right); Lymph Node Removal: Sentinel Lymph Node Dissection (Right); Prophylactic Mastectomy (Left); Reconstruction: TRAM flap (Both)
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Jul 8, 2012 04:42AM 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 jennt28.wordpress.com/ - 3 x FEC, 11x weekly Taxol, 12 months Herceptin (end March 2013), 12 days rads (quit), BMX with recon, Tamoxifen

Dx 12/1/2011, IDC, 2cm, Stage IIa, Grade 3, 1/2 nodes, ER+/PR+, HER2+Surgery 12/07/2011 Lumpectomy (Right); Lymph Node Removal: Sentinel Lymph Node Dissection (Right)Surgery 09/28/2012 Mastectomy (Right); Lymph Node Removal: Sentinel Lymph Node Dissection (Right); Prophylactic Mastectomy (Left); Reconstruction: TRAM flap (Both)