Has anyone done MammoSite Radiation Therapy?
Comments
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Linda
Sorry to see your Oncotype DX score. But it's good to know.
Glad your BRAC test showed no mutations!
Hope your balloon catheter procedure goes well on Thursday. Mine is Firday.
Susan
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I just discovered this site. I think 2 ladies mentioned the pain involved with the shots for the sentinel node biopsy. My surgeon prescribed lidocaine and prilocaine cream and told me to put it on "like I was icing a cake" 2-3 hours prior to the procedure and then cover the entire breast with plastic wrap. It never felt like it was getting numb and I was a bit nervous to put it mildly. However, it worked because I didn't feel a thing. Shame on your doctors for not having you do this. I think some of them are just plain sadistic.
I also had the mammosite radiation. My breast became very swollen, heavy, sore and redish. No surprise, I guess, but after the treatments it seemed to get worse. I just thought it was to be expected....wish I had known about this discussion site then. When I went back for a one month checkup with the oncology radiologist, he immediately sent me upstairs to the surgeon who had to aspirate it. No infection thank goodness. But, after almost a month it's become heavy, sore, swollen and redish again....not quite as bad but I'm wondering if anyone knows if it can fill up with fluid again?? I'm beginning to associate my doctor with very large needles!!
Also I'm wondering if any of you are on Femara and if you are experiencing any side effects? I'm not encouraged by the thoughts of being on this drug for 5 years. Any advice would be appreciated.
Thanks. Caryl
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Hi clk,
I know how you feel. Mine are where I had the sentinel nodes removed and only 1 day after I finished the MammoSite I spiked a fever of 104 and was very red and swollen in that area and had to get fluid removed several times and on 2 different antibiotics. Better now but saw the surgeon yesterday and still a bit swollen but doesn't want to try to remove fluids again because of the possible infection factor so just warm moist packs Really help. Try the warm moist wash cloth and re-heat in the microwave for 20-30 seconds and apply again.
I'm waiting on the onco. test as well but the Surgeon and My radiation Onco. both have stated I will need Chemo. first due to the size and the location of the tumor but hey anything to keep it away huh Ladies!!
Jerri
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Thanks for the suggestion, Jerri. I will try the warmed moist cloths. This is not in the area of the incision or lymph nodes, although that does have a little bit of scar tissue build-up. this is the entire breast. I've been tempted to put a little qbit of the lidocaine cream on it once in a while just for a little relief. Someone suggested oragel....I may try that since the aloe gel doesn't seem to work anymore.
Hopefully, if you have to have the chemo, it won't be too awfully bad for you. I'll keep you in my thoughts and prayers.
Caryl
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Well, had the wonderful cather put in Thursday morning. I don't know what they put in my IV but I don't remember leaving the little room to the operating room. Went to rad. onco. at 9 that morning for the CT scan and x-rays. They did my first treatment at 11:30 that morning and then at 5:30 that evening. I got the Contura instead of the actual Mammosite. I have a 6:45 and a 12:30 treatment. 4 down 6 to go. I am having some drainage so DH is having to change the dressing. Daughter coming in Sunday for a couple of days. I have a little pain here and there but nothing I can stand. I am on 1500 mg daily of antibotics. I just take a pain pill before I go to bed to help me sleep. I wake up through the night wanting to turn over on the wrong side and realize nope!
Back to surgeon on the 17th and I guess to a med. oconologist to get the word on chemo or not.
FL and GA fans what will the outcome be today? Go DAWGS!!!! Missing out on 2 great gatherings today due to this stuff!
Everyone have a great weekend!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Linda
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Hi LindaBusEd,
Congrats on your Starting your Treatment!! Oh, how was your Vacation???
I had the Contura as well. I hope you know I'm a nurse and I couldn't even look at my tube or change te dressings or I would have passed out. My husband was a Great Nurse! Glad you have someone helping you.
Have you had the Oncotype test done yet?? I said Goodbye to my Radiation Onco. for 3 months and now on Tuesday see the Medical Onco. and discuss Chemo. Not looking forward to it but want to get rid of ALL of this.
Again Congrats!!
Jerri
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Linda - glad it's going well for you, and it's great they will do it over the weekend. They only do Monday through Friday here.
I had the balloom catheter implanted yesterday, and I'm wrapped up like leftovers. It sure looks like saran wrap. I go in Monday to get set up and start. I'll be doing 9 am and 3 pm.
Haven't really had pain. I still have xanax and darvoset left from the partial mastectomy. (I feel like a pharmacy).
I had a little skin rash so they gave me 9 days of antibiotics before surgery and antibiotics with the procedure yesterday. So I'm hoping I'll have some protection from infection going in.
Onward!
Susan
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Congrats for you as well TigerLily4. Just think by Friday after 3 you will get the Ballon pulled and be done with your Treatments! YEA!
Will they be doing CT Scans before each treatment??
Also Thank You Again for All of the Information of Places here in AZ for my Friend. I have passed it on to her. I hate to say it but I think she will be contacting them since she is not getting anywhere with her own insurance and can't even speak with a Supervisor.
Jerri
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Graduated from Balloon Pulling School Wednesday afternoon. I had the Contura and they had to really pull but nothing I couldn't stand. Followup appts. with them and surgeon the next 2 weeks and I will go from there.
Tigerlily, can't wait to take a shower!
Thinking of all of you.
Linda
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Linda
Glad yours went so well!!!
I get my balloon pulled this afternoon, and like you, I can't wait to take a shower!!! I may be in there all night. And I can't wait to sleep on my right side again (my preferred side to sleep on).
That said, it is fabulous to be done in five days!!! 7 days from when the balloon catheter was placed.
I appreciate everyone's thoughts and help.
Susan
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Congratulations Linda and Susan!!
I hope you both took long relaxing showers and were able to sleep well!!
I saw my oncologist today and he says I'm doing so well on Femara that he doesn't want to see me for 6 months - WOO HOO!!
Hugs,
Karen
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Karen - great news for you! I long for the day I won't need to see a doctor for six months!
Pinkladdy - I should have answered your CT question earlier. Yes, I had a CT scan before each treatment, ten of them. They need to make sure the balloon is still inflated and not leaking.
I slept most of last weekend, but today I feel pretty energetic and worked all day without a problem. I'm hoping to be back to normal energy soon.
Susan
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Susan,
I should have been more precise - I still have to see my surgeon, just not the oncologist. In fact, I have to get my 6-month post surgery mammo in a couple of weeks (ouch??), blood work, a chest X-ray and then have a follow up with my bc surgeon in early December.
I'm glad you were able to catch up on sleep this weekend and that your energy level will come back soon.
Hugs,
Karen
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I had my balloon pulled last Wednesday. Friday, I took the gauze off and had my husband put a large gauze band-aid over the pull-out hole that still has the strip tape on it. I didn't want any leakage on the bra since it was getting old washing bras during the radiation as mine wanted to leak through the gauze even though husband bandaged me. When I took off the band-aid my skin pulled off in several places. Did any of you have problems with you skin? Radiologist checkup Thursday and then Surgeon checkup on Monday(I guess I will see if he will be referring me to a medical oncologist)--he needs to take out the stitch he put in while inserting the balloon. Karen, I still am having to take afternoon naps.
All take care, Linda
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Linda
There must be some difference in how they do this. When he removed the catheter, my rad onc took out the two stitches the surgeon put in when he placed the catheter. He then used steri-strips and did not put in any additional stitches (which he apparently does some times). There was bleeding through the strips, so I placed a regular band-aid over it to stop the bleeding on my bras. It stopped in a day, and the steri-strips are starting to come off - they said let them come off naturally. I see the surgeon tomorrow so should know more than.
Luckily, I did not have any leakage (or not much to speak of) during the week the catheter was in. I really feel like my surgeon was extraordinary - the rad onc commented on what a nice job he had done with the catheter - there were no problems pulling it out.
I don't see the rad onc until a week from Friday. And I've had an oncologist since the beginning. It's interesting to see the different ways everyone is being treated.
Didn't need a nap yesterday or today (but no work today because it's Veteran's Day), but I also haven't gotten back to my regular exercise regimen yet, either.
Keep warm everyone!
Susan
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I was set up to go with the Mammosite radiation therapy, however, the PET/CT picture showed air bubbles between the balloon and my skin that had formed sincethe previous Friday, when everything was set up. The sent me home and told me to come back Wednesday. The air bubbles had increased and it was also discovered in that PET/CT that the margin between the wound and my skin had gone less than acceptable measures, so I was no longer eligible for the Mammosite. They took the balloon out. I was really disappointed and felt like I had failed because I really wanted to do it this way and not have to be tied down to daily for 6-8 weeks. So, this coming Wednesday I have to go to the Chemo man for an evaluation then on the 3rd of Deceember back to the radiation man to be marked, I was told I needed about 2 weeks to heal up for the zappping. LOL! So, I will be doing the therapy thing over the holidays. I do not know if I will need chemo as I was told everythiing looked good.
Today I took the bandages off for the first time, I noticed my incision scar. Wow! It is long, or it looks so to me.
I was told that the radiation might possibly weaken my ribs as a side effect. Has anyoone had problems with weaker bones near and around the site?
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Ginnysue,
Sorry to hear about your not able to use MammoSite. Which side is your Cancer and what type and size?? Sorry you don't have to answer but I didn't see it here in your note.
Keep us in tune what your Doctor states about Chemo. Have you had the Oncotype Test done yet?? It helps with your decision on chemo.
Jerri
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My tumor was on the right side. I am still new at this the diagnosis is T2, No, Mo. Stage 2 11A.
My hormone path has not yet come back. I am not sure what a Cncotype test is. I am such a stubborn little thing. LOL
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Oncotype is a test that they take a small portion of your tumor and can test it to see what your reoccurnce could be in ten years. Now the tricky part of this is that Not all insurance companys cover this test or don't cover it completely. I think the test is around $3000.00 without insurance. Mine came out to be a 14 but my BC surgeon, Raialogist Oncologist and Medical Oncolgist All say due Chemo just because of the size of the tumor and my age. Talk with your doctor about this to help you. We like stubborn around here. Shows you are a Fighter!!!
Jerri
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Ok, i have heard mention of my age (late 50's) and also the size of the tumor (2cm). So, the mention of my age made me want to come out fighting. LOL!! Could be I am a little sensitive about that!
Have you any suggestions as to questions i might ask this guy? And if I feel like chemo is not for me, should I just tell them up front?
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You be upfront about the Chemo. You are calling the shots as well. But really listen to them. They will be throwing out a lot numbers about percentages to lower of this coming back. Ask about ALL of your options and you do Not have to make a decision right there and then. Have you started any kind of Radiation yet??
Glad to hear and See the FIGHT!!!
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Linda,
I'm so sorry about your skin pulling off. I didn't have that happen, but can imagine it was very painful. What did the rad onc say about it? Please keep us posted on your progress, and what your next steps will be.
Ginnysue,
I'm sorry that you can't do Mammosite, but when you talk with the radiation onc, ask him whether you are a candidate for the 3-week protocol. It's fairly new, but some of the ladies on this thread have done that when they were unable to do Mammosite. Go back one page, and read KAK's post toward the top. That might be a possibility for you.
And yes, my incision scar looked pretty big to me too at first - I've gradually gotten used to it, plus the redness of it has faded somewhat over the past 6 months.
Jerri,
When do you start your chemo? Please let us know how you are doing.
Hugs,
Karen
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My mammosite radiation was done in early March '08. Here it is at year end and I'm still getting some serious discomfort. Now, everything I read and heard before and during all this ordeal was that it was a cake walk. I'm not sure it would be wise or kind to complain about the pain I experienced, but it was quite painful. In fact, I told my husband if I'm unfortunate enough to find another lump, I want to be admitted into the hospital from biopsy through balloon removal after radiation therapy with special attention being paid to PAIN MANAGEMENT! lol So, I'm a little skeptical about my resources. lol Anyway, I wanted to ask if it seems "normal" to still be having such pain in what's left of my breast. I feel sharp pains at time and other times aching pain.
Also, what wisdom can be shared about reconstruction surgery from this forum?
Thanks!
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Hi. If you felt you had pain during any part of the procedure, you have every right to complain. Otherwise we don't get a true picture of a patient's experience. I'm pleased that you have decided to post what you are feeling now 9 months after your surgery. I have no complaints re my surgery. My surgeon was excellent- got clear margins -inserted the dummy catheter at the same time and removed one sentinal node. The drs. were excellent when they did the needle insertion and the dye for the biopsy of the snode. He was also good at replacing the catheter with the one for the seeded radiation therapy. The 5 days of treatment went well (2x a day)- it was not painful other than some sensitivity in my breast. The fatigue I experienced I had expected and it happened after the 4th day of treatment. My surgery was performed on Dec 10th. by Dec. 23 I was done. They did not have txs over the weekends. I am posting this response to you because I am still feeling sensitivity in my breast and yes I feel sharp pains at times. Though it has been less than a month I am hoping that this will pass. I have yet to see the med onc. because of the weather. I have an appointment next week. I am not planning to have hormone therapy. I feel that I have subjected my body to enough trauma without the drugs. My surgeon of course is not happy about my views and wants to let my med onc. tell me the best options. I have researched everything I could find on the internet and on the posted sites on this board for what the side effects are. I am a healthy 75 year old female with what my docter tells me is a 5-10% risk of bc reoccurrence. I see it as a 95-90% chance of staying free of bc. I just want to be free of thinking about bc. I wish all my sisters on this journey well. God Bless. Hugs and kisses. Mary
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(((((minidox))))) I'm sorry that you are still in pain. I have had discomfort/pain because of a seroma that formed in the cavity after my lumpectomy. It has gotten smaller, but it is still painful at times. Have you asked your doctor about it?
Mary - I'm 62, and in my case the medical oncologist told me I had a 25% chance of recurrence, but it would most likely NOT be in the same breast. Since my mother and her two sisters also had bc, I decided to take one of the Aromatase Inhibitors - he started me out on Arimidex, but I had some unpleasant side effects, so I'm now on Femara, which is much better. Now my recurrence rate has dropped to 10%. If I had only a 5 to 10% chance, I'm not sure whether I would have agreed to hormone therapy, but I do hope that you'll listen to what your med. onc. has to say before making up your mind.
Hugs,
Karen
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Karen, I have not been on the site lately at all. How are you doing? I have gone off the face of the earth as far as this site is concerned, however I think of you all regularly. 2 of my close friends have been dx with ca recently. Breast and cervical. Spending time with them. I hope you are doing well. Have you heard anything from Jackie. Upon glancing at the thre different people who've been on, I don't see her.
Last I knew her SF was very ill. Can u fill me in? You guys have been so good to me. I hope you are well. I am doing very well! Yeah. Marty
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I had my lumpectomy on Jan 19th. I saw my surgeon on the 27th to talk about mammosite radiation. He did an ultrasound and said my margins weren't quite thick enough in a few areas. My tumor was very close to my skin. He said we should wait a week because over time the margins tend to even out and thicken. I go back on Tuesday, Feb 3rd for another ultrasound. If all goes well, he will insert the balloon in the office using the same incision he used for the lumpectomy.
My tumor was located at the mid-inner quadrant. I know that this isn't a common site and was wondering if I will have any concerns about the catheter site?
As I have posted in other topics,Ladies thank you for posting your experiences. My world is calmer since I found this site. My reading tonite has helped to prepare me for the possible news that I am not an appropriate candidate for this treatment.
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CaliforniaCloud,
I will keep my fingers crossed! Fortunately, I was a candidate for the Mammosite. It was the way to go: 5 days twice a day vs. 30+
Hope all goes well. Linda
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This thread has been very helpful to me ladies. Thank you for sharing your experiences. This site also helped me be prepared for my lumpectomy and sentinel node biopsy on 1/21. If I hadn't read your posts, I would have gone to the hospital thinking everything was going to be done while I was under anesthetic. But I learned that 2 hrs before surgery I had to have a tracer injection, and nuclear scan before the actual surgery. I learned to call and ask for lidocaine cream. Thank you! Now I'm her in my second post op week, keeping a heating pad close to my incisions. The ice was just making things worse afer a week... I just received an email from my Med Onc. and she conversed with my breast surgeon, and they decided I may be eligible for mamosite if the cavity location is in the right place. So I'm just waiting to see “when” I can be considered. I don't see my Med Onco til 2/19 and that just seems so far away! I can't help thinking “why aren't they giving me something for this! I was diagnosed on Dec 16, and I haven't been prescribed anything yet!” So naturally, I'm scanning the internet for anything that is supposed to kill cancer cells.... broccoli sprouts, grape juice, host defense, psk.... are there any real research studies done on “foods that block cancer growth? Or is that just not lucrative for the controlling pharmaceutical companies?????!! I'm getting off the point. Sorry. The things that run through your mind on this roller coaster ride....
I just wanted to say thank you to Caryl who warns against swelling and fluid (which I think I have post op), lidocaine application – i love the description, “like icing a cake” (10/30/08). Wondering about the dif between Arimedex and femara.
Thanks to Jerri, for the warm moist cloths... heat is healing!! I haven't asked about aspiration. Can i do that before rads? I will prepare myself to be able to change my own dressings. Ugh!
Linda, thanks for description of the process. Very helpful. I'm guessing Contura is similar to Mamosite. “Balloon Pulling School.” Oh, great things to look forward to. And no showers?? What??? How was the skin healing? Congrats on the recur rate of 10%.
Susan. Thanks for preparing me to ask for antibiotics and start thinking about how I might have to spend the week closer to treatment.... investigate the family house nearby the hospital...two times a day is finally sinking in. My one hour drive through traffic will not be doable 2x day...
Karen. Thanks for telling us there is a 3 week protocol, if mamosite is not an option! What were your side effects on Arimidex?
Minidox, thanks for the warnings, and Mary, my namesake (real name is Mary), thankso yfor the blow by blow, very helpful! I am feeling sharp pains just from my snbiopsy and lumpectomy. was thinking surgery and rads and I'd be done. But because of lymphovascular invasion, I better do the hormone therapy at least. My oncotyping isn't finished yet, because they had to send for more tumor tissue at the originating hospital.
And thanks to all I forgot to mention. You all added depth and perspective that help us all understand what we're up against. And that armors us for the challenge.
All that said, like Calif Cloud, I'm hoping I pass the cavity location eligibility. I wish you all blessings of the miraculous healer.
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I wonder when I will stop posting how grateful I am to all the ladies who take the time to post to help guide the newbies through this process. You all have given me the confidence to ask questions and remain positive, if things don't go as hoped.
I had a second ultrasound today, but my margins are still not thick enough to proceed with the mammosite. The surgeon gave me several options like putting in a temp balloon and then doing a CT scan to see if the margins are thicken with the balloon in place; he even offered to insert the balloon and then send me to the oncologist to see if he would proceed.
I opted to go with my surgeon's first choice: wait another week. The cavity is large enough not to be concerned about it healing closed, and I really do not want to have another incision unless the mammosite looks like a sure thing.
On Wednesday, Feb 3, my surgeon is presenting my case to a committee of oncologists--sorry I don't remember exactly what he called this committee. My surgeon said he would call me on Feb 4 to discuss the committee's treatment recommendations.
In the meantime, I am learning to feel at ease with waiting for decisions to develop and am trying to take full advantage of my current state of comfort and energy.
Thanks to Linda and Mamie for including me in your well wishes.
Cheers to us all!
Cloud
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