Radiation Pneumonitis

peacestrength
peacestrength Member Posts: 690
edited August 2014 in Stage III Breast Cancer

I had a followup lung CT today.  They said I likely have inflammation due to radiation or infectious in origin.  I have no symptoms and not being treated for it - just another CT scan in 3 months unless symptoms appear.

This showed on my PET in December too.

Anyone experience this after radiation?  


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Comments

  • weesa
    weesa Member Posts: 707
    edited February 2014

    Yes, I had radiation pneumonitis.  About 3 months after finishing radiation I got a cold and a strange scraping feeling when I breathed. I thought it was pleurisy. A cat scan diagnosed a small section of my pleura was scorched from radiation. I was given the choice of taking steroids until it cleared up or an over the counter anti-inflammatory. Nobody at my onc's seemed to think it as a big deal.

  • Momine
    Momine Member Posts: 7,859
    edited February 2014

    I had what felt like asthma about 6 months out from rads. I would start walking and after 10 minutes I would have trouble breathing. The docs immediately ordered CT and MUGA (to rule out heart damage from epirubicin). They found nothing. The symptoms subsided, but a year later scarring on the lung did show on CT (routine CT). Onc was not concerned and since I have had no further trouble, neither am I.

  • peacestrength
    peacestrength Member Posts: 690
    edited April 2015

    Thank you both for responding. I appreciate your insights and experiences.

    I'm seeing my pulmonary specialist this week.  My MO talked about treating it with steriods and wants me to see my pulm specialist before proceeding. So, I'm not being treated yet. I do think additional treatment choices like an anti-inflammatory would be good.  I'd rather be proactive and help the inflammation instead of "wait and see" approach for next CT scan.  I'll see what the pulm specialist advice is.

  • encyclias
    encyclias Member Posts: 302
    edited February 2014

    peacestrength, when I had my year follow-up PET scan this past Oct, the doctor who has the imaging center I go to -- and whom I trust and adore -- asked when I had finished my rads.  I said 'two months ago,' and her reply was that what was showing up on the PET scan was just an echo of the rad treatments and nothing was wrong with my lung.  She was the first to bring PET scans to this area, long before the three major hospitals offered them.

    I don't know how long the rads will continue to show up on scans, forgot to ask her, but this may hopefully have something to do with what is showing up on your scans.

    Best of luck

    Carol

  • peacestrength
    peacestrength Member Posts: 690
    edited April 2015

    Thanks, Carol.

    I've visited with 3 physicans regarding this and will see my pulm specialist tomorrow.

    So far, each believe it is inflammation due to radiation.  My RO said since I'm not having symptoms, that she would recommend not treating with steroids.

    Onward to my pulm appt tomorrow.  I'm nervous to whether he'll suggest a biopsy or not.  We'll see.

  • jennyboog
    jennyboog Member Posts: 1,322
    edited February 2014

    Yes, kind of....I've had stuff in my left lung show up since rads but never had a dx name for it.  I always seem to have some type of inflammation or hot spot that never turns out to be nothing....lets hope it stays that way.

  • bevin
    bevin Member Posts: 1,902
    edited February 2014

    Hi there, just some input to the rads cause pneumonities: I believe from my discussion with my pulmonologist that radiation pneumonitis does not go away. Its permanent damage that usually turns in to fibrosis.  They can watch the change on your scans.  Ask about this as I believe the steroids help reduce the inflamation but the damage is done and as I understand not repairable.  Someone may come along with different information than me but this is my understanding.

  • jennyboog
    jennyboog Member Posts: 1,322
    edited February 2014

    Thanks for the input Bevin.  I've never had an actual dx but they always seem to mention something in my lung so maybe it's not the same.  Funny you should mention fibrosis...I have also had problems with my neck and underneath my jawline since rads and I've always described it as fibrosis tissue.  It is a tight and pulling sensation and feels hard.  They didn't use a lead sheild over my neck and I think it got some scatter rads in my opinion.

  • peacestrength
    peacestrength Member Posts: 690
    edited April 2015

    Thanks Jenny and bevin.

    I saw my pulm specialist - for my specific situation, due to my history and for peace of mind, he suggests doing a bronchoscopy biopsy and wash.  So, I can either wait until my next scan to see how things look or I can schedule the bronchoscopy in the next few weeks.  

    I'm scared of yet one more procedure.  I hate bc so much.  I haven't had much of a physical break in almost a year.  It's taking a toll on me mentally.  

    I need to make the difficult decision to biopsy soon.  He isn't pushing it hard but said if it was him he would do it considering all the questions around my lungs and sarcoidosis.  

    Ugh!

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited February 2014

    Jennyboog--no lead shield over my neck either, and I'm 100% positive the scatter radiation destroyed my thyroid.  I'll take synthroid now the rest of my life.  I wonder why they didn't shield my neck?  They weren't radiating anything up there for cancer treatment.  It pi**es me off, just a bit.

  • jennyboog
    jennyboog Member Posts: 1,322
    edited February 2014

    Dang! sbelizabeth...I thought my pulling sensation was bad but the thyroid...ouch :(  Never even crossed my mind to ask about a neck shield during rads, makes me mad because I know better.


    peace...You mentioned sarcoidosis, that was mentioned as a possible dx during my last "biopsy scare event".  Did you have it before BC?  It doesn't seem to end for us, with the biopsies and etc.  It can be so hard to move on with life when you keep getting pulled back into it. 

  • stage1
    stage1 Member Posts: 475
    edited February 2014

    hello, ladies.  Just wanted to say, I, too, asked for a shield during radiation.  The RO said we don't do that.  As I was very intimadated and vulnerable, I did not pursue it.   I later bought my own lead shield to cover my neck for future mammograms.  

  • peacestrength
    peacestrength Member Posts: 690
    edited April 2015

    Jenny - I was dx with sarcoid of the lungs seveal years ago along with Graves disease - 12 years before bc.  Sarcoid can show up in several areas of the body - the lungs are common.  It can show inflammation in almost any part of the body.  I have been on thyroid meds since having my thyroid removed due to radioactive iodine treatment failure back in 2001. I had one physican say that ROI may have caused my bc.


    Who knows.  Just doing the best I can with fighting bc with conventional, alternative, spiritual and food means.

  • slv58
    slv58 Member Posts: 1,216
    edited February 2014

    I'm another one who is sure rads destroyed my thyroid-my endocrinologist thinks so also. I complained about a feeling of a lump in my throat within the first week of rads and was told that they were not even close to my thyroid, but may be exposed to scatter radiation and will probably go away with time. Well 6 months later blood tests confirm I'm very hypo. I don't understand why a thyroid shield isn't offered.

  • stage1
    stage1 Member Posts: 475
    edited February 2014

    my thoughts...a thyroid shield costs time.  Each shield put on would take a minute to put on.  I bought one and bring it in for my mammogram.  Also, the tech in Kaiser said they get dirty.

  • jennyboog
    jennyboog Member Posts: 1,322
    edited February 2014

    Thanks peace...The biopsy I had to LN's behind sternum showed a granuloma and I was told you get those from sarcoidosis but I have no other symptoms.  So, not sure and the dr's didn't seem to know either.  I'm going to speak to my primary care dr.  Thanks again.

  • Bexter3
    Bexter3 Member Posts: 61
    edited March 2014

    I get radiation pneumonitis a few times per year. Finally talked doc into getting my own nebulizer so I can prevent complications and pneumonia. Every couple of years have your doc monitor your lungs for fibrosing. You will do fine if you get on top of the pneumonitis before it sets in. Hang tough! On 4th year, 3rd month from diagnosis, and have had it probably 10-12 times. Hugs!

  • melmcbee
    melmcbee Member Posts: 1,119
    edited March 2014

    Wow, I feel like a fool. I'm a radiological technologist and didn't even think about asking for a shield. Huh. I have a healed rib fracture from coughing and severe pain from the nerve that runs on my rib cage at my bra line area. I just had my second set of nerve blocks for that problem but I swear I feel like my rib cage is damaged from radiation and it feels like I keep having another broken rib but nothing showed up on xray.  Hope everyone is doing well.

  • stage1
    stage1 Member Posts: 475
    edited March 2014

    I, too, get rib cage pain.  Ribs feel like they are rubber bending.  I also have throat and cough, I am fearing lung problems.  So, will they x-ray me ...more radiation?  I see my MO this month, and am due for a mammogram.  

  • peacestrength
    peacestrength Member Posts: 690
    edited April 2015

    Here we go again...a new small 2 mm nodule on my lung has appeared on my latest scan near the radiation damage.  My MO says it does not look like mets but likely more radiation damage.  I only hope and pray it's from continued radiation issues...

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited August 2014

    Peace, we'll hope and pray with you! 

    Since I was eager to throw the kitchen sink at my cancer, I'm glad of all the treatments and technology offered me.  It would have been great, though, if the unpleasant side effect, mostly from the rads, weren't so permanent.  My pectoral muscle is like tight beef jerky, my shoulder is wonky, and I have a radiation burn scar behind my arm that will forever limit the range of motion of my arm.

    About scatter...when I was doing rads, I wanted to just zone out and be gone during the twenty-or-so minutes each treatment took.  I plugged in my iPOD and laid a buckwheat-filled eyemask over my eyes.  But I noticed (and this is SO creepy) that when the humming-buzzing of the machine indicated the radiation was being delivered, the eyemask lit up with a weird glow that I could see, even with my eyes closed.  So I asked my RO about it.  He looked concerned, and said, "The filling in the eyemask is somehow concentrating the scattered radiation and lighting up.  Don't wear it."

    So if radiation scatter made it all the way to the level of my eyes, why would they NOT shield my thyroid? 

  • eric95us
    eric95us Member Posts: 2,845
    edited August 2014

    Ask if there are any strong electric fields around the machine when it is delivering radiation.  If so, perhaps it was the electric field making the eyemask material floresce.

    Eric

  • peacestrength
    peacestrength Member Posts: 690
    edited April 2015

    Thanks Sbelizabeth!  I agree - seems obvious to sheild the thyroid during radiation.   I had my thyroid removed in 2001 due to Graves disease.

    Anyone else have a nodules show up on the lungs after radiation?   I read on a different older thread that a few stage 3ers had this happen - how are you doing now?

  • peacestrength
    peacestrength Member Posts: 690
    edited April 2015

    Anyone out there with a lung issues after radiation?   

    Really need to hear from someone....

  • shoppygirl
    shoppygirl Member Posts: 694
    edited August 2014

    Peace 

    I don't have any symptoms of lung issues but I do have a 6mm nodule that they are following. 

    One of my co workers wife had radiation pneumonitis after radiation for about two years. If she got out of breath it would be very hard for her to recover from it. Not sure if she had nodules but I do remember my rad oncologist telling me that lung damage is very common after rads. 

    I can completly understand the stress this is causing as I am due for my year follow up scan on my nodule next month. I have already had one follow up scan and there was no change but I am still scared. It seems like every time the scan me they find some other weird thing. Last time they found a thyriod nodule that was benign but still, enough already!  

    Hugs to you! 

  • rosecal954
    rosecal954 Member Posts: 79
    edited August 2014

    Peace,

    I finished 30 external radiation treatments in Jan. Just a few days into my treatments my chest felt varying degrees of burning or heaviness which would come and go.  Radiation oncologist said since the radiation is slightly clipping my right lung that is normal and should go away after treatment stops.  Seven months later the heaviness is still here now and then and just recently am noticing this feeling is usually more pronounced later in the day. I do not seem to be short of breath, but perhaps slightly more fatigued.  My lungs hurt a little on a deep breath when I feel this heaviness. I walk a couple of miles a day and am an active 59 year old and otherwise in excellent health.  I am a slightly anxious person anyway, but my body is telling me this is from the radiation, not all anxiety.  I also experienced burning sensations on other parts of my body and half way through radiation the techs put a thyroid shield on me but said it won't do any good. My hair thinned slightly as well, noticing more strands of hair in my comb and also have had tingling on the top of my head, like a crawling sensation.  We asked the radiation physicist about the symptoms and he said I must be sensitive to the radiation, but the machines do not scatter.  Well this has been my experience and I am coming up on my one year cancer anniversary trying very hard to put this behind me and move on.  Hope this helps a little for you and wish you good health.

  • april485
    april485 Member Posts: 3,257
    edited August 2014

    I had shortness of breath a few times after finishing rads and one night it was so bad, I had my husband bring me to the ER as I just could not breathe! They did a CT scan and said that I had a little bit of an emphesemic lung on the left (my bc side) and because I had been a former smoker, I assumed it was from that.

    I followed up with my PCP who put me through my paces (exercise) and then nebulized me and found that my breathing improved by 40% after the treatment. She said I have "situational asthma" and gave me an inhaler and told me to always carry it with me. Asthma? Suddenly? At my age? Did not make sense.

    I take aromasin and some others that take this have had shortness of breath, but I think it is from the rads. My RO says no way but I was told they could not keep my lung completely out of the field and the dosimetry report showed a small corner of my lung would receive rads despite them trying to keep it out. That little "corner" was the same spot that the hospital told me I had  a little bit of emphysema! Soooo, not sure what to think...

  • peacestrength
    peacestrength Member Posts: 690
    edited April 2015

    Shoppy and Rosecal - thank you.

    Shoppy - When did your nodule show up?  

    Rosecal - Have you had a chest a CT scan?

  • peacestrength
    peacestrength Member Posts: 690
    edited April 2015

    April - thanks...my RO seems scared when we talk about my lung.  I'll see her next week to discuss this.  She said most women don't know they have rads damage because they aren't getting scanned and don't have symptoms.  She was basically saying this in an attempt to make me feel better.  Didn't work though.

  • rosecal954
    rosecal954 Member Posts: 79
    edited August 2014

    peacestreng, I have not been to the doctor yet; it's not that bad; I doubt if they would order an x-ray or CT, probably wait and see.

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