How do you test to see if Rads have worked?

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How do you know if your radiation was a success and you are all clear?

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  • lemonjello
    lemonjello Member Posts: 75
    edited February 2009

    How is it that noone has posted a reply to a simple question? 

  • Estepp
    Estepp Member Posts: 6,416
    edited February 2009

    "cause I don't know.

  • hopefullady
    hopefullady Member Posts: 210
    edited February 2009

    I think it's because there is no way to know if your radiation was a success, or if you are ever all clear.  There is no test.

    You should talk to your radiation oncologist.

    Chris 

  • PSK07
    PSK07 Member Posts: 781
    edited February 2009

    lemonjello - sorry that no one has answered your question as yet. Sometimes weekends are slow.

    In my case, I presume that the rads worked because in my followup mammo/MRI, there were no trace of microcalcifications. I say presume because I don't know 100%.  Studies show that the outcomes of lumpectomy+radiation are comparable to mastectomy.  The impact of radiation was driven home for me by the rad onc who told me of one study that had to be cancelled because the number of women who didn't receive rads after lumpectomy for DCIS had a recurrance rate that was too high. They couldn't accrue women to a study of rads vs. no rads when the risks were so high.

    One resource for me besides bc.org (and the radiation discussions) was http://www.radiologyinfo.org

    Pam

  • Ivy
    Ivy Member Posts: 31
    edited February 2009

    lemonjello - I wondered the same thing, because people would ask me if the cancer was all gone (once I finished 34 rads).  I would ramble about how you can't know if the cancer's gone, you can only know if it comes back that it's there again -

    so at my first 3-month checkup last month with my breast surgeon who did the lumpectomy, I asked her, "What's a good short answer for people who ask if the cancer is all gone?"

    She gave a totally unexpected answer: she gestured toward the side where I had the surgery, and said, "THAT cancer is gone.  You can say Yes!"

    I wondered if I should even tell people that, apart from my husband, because I didn't know what to say if people then asked "How can she know without doing any tests?"

    My guess is that it's expected that cancer cells can't survive the level of radiation they get.  So the cancer does leave the radiated area; but new cancer can develop.  Any cells that traveled out of the radiated area can lead to mets, of course.

    I decided I would tell people what my doctor said, and that I'm healed of breast cancer.  I'll take every day of no cancer that I can get!

    Have you finished radiation?

  • QueenK
    QueenK Member Posts: 220
    edited February 2009

    First of all welcome to a super community.

    Secondly, that is not a 'simple" answer that can be answered by non professionals.You would have to talk to an oncologist about that.

  • smerf
    smerf Member Posts: 615
    edited April 2009

    Hi lemonjello,

    Rads are given to reduce the chance of recurrence in the breast. When youn finish rads you are followed closely with mammograms and/or breast MRI, or other breast imaging,and clinical exams. That is how your doctor will monitor you for recurrence, and it could be your rads onc, medical onc, surgical onc, or sometimes all three. I think your question is a good one for your rads onc!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited April 2009

    I asked my rad onc the same thing a couple weeks ago.  He looked at me as if to say 'well, we just know they do'.  But I like the answers above that only time and follow-ups will give you your answer.  For now I tell people that my lumpectomy removed the cancer and since all other tests were negative for more I consider myself cancer-free.  Doing rads and AI now is just my security blanket to try and guard against any recurrence in the future. 

    Remember, however, nothing is guaranteed.

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