Dangers of radiation?
I met with an RO yesterday for a consult on my rads treatment. My husband came with me and now we aren't talking.
Dx: DCIS, low/intermediate grade. Lmp. done, all cancer was gone.
My husband is very anti-rads (chemo as well, so thank goodness this was not invasive). He is very much a Rick Simpson oil proponent and very firmly believes that taking the oil will prevent any cancer from coming back and with no harm done to my body. He could be 100% correct. But I don;t know, there are no long term studies that I can find that give recurrence rates. I told the RO that I was going to think about the decision to do rads, but I am pretty sure that my mine is made up to go for it. I am "young" --45 yo-- I have a lot of years ahead of me and I would kick myself if I don't do rads now and in 10-20 years its back and is worse than DCIS. RO gave me the stat of 20-30% recurrence risk if I don't do rads. To me, that is pretty risky. I know that with rads it still can come back, but the chances are much lower, right?
He has read many stories/articles how rads causes more cancer, kills healthy cells etc and that is what he is focusing on. He thinks I am making the wrong decision. I think I am making the best decision for *myself* as I can.
So this is my question (after my long rambling post, finally!!), do any of you know more "real life" occurrences of rads hurting rather than helping? I know that the SE's are mainly fatigue and skin issues, but did anyone you know end up with heart/lung issues? Cancer caused my rads?
And do you know of anyone who didn't do rads and has a long term good prognosis and survival rate?
Thank you so much!
Comments
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Well, rads not hurt me, at least hat I know of. My right breast was the area treated, so I can't speak to heart issues. BUT, anecdotal evidence on an internet message board is hardly the way to make such an important decision, imho.
Regarding your husband I have only 3 words of wisdom to offer:
IT'S YOUR BODY.
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Hi Faerywings,
We're sorry you're having such difficulty making this decision and for the conflict with your husband!
Here are some Research News stories from the main Breastcancer.org site that might help:
- Long-Term Results Show That Radiation Therapy After Lumpectomy to Remove DCIS Reduces Recurrence Risk
- Radiation After Lumpectomy to Remove DCIS Lowers Recurrence Risk
- Radiation After Lumpectomy Offers Long-Term Benefits
- Radiation, Tamoxifen After DCIS Surgery Reduces Recurrence Risk
- Radiation Therapy for Breast Cancer Doesn't Seem to Increase Risk of Heart Problems
- Modern Radiation Therapy Less Risky for Heart
Many, many more articles on the main Breastcancer.org site, by searching "Radiation and recurrence."
We hope this helps!
--The Mods
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I agree with yorkiemom - your body, your decision. If you choose not to do radiation and the cancer comes back later, who's going to be dealing with it? You, not your husband. I fully respect the choices others make, and from what little I know Rick Simpson Oil could be a good treatment option, too. You might want to wander over to the Alternative forum where there is a discussion about RSO going on right now; they might have more information for you about that.
Radiation is meant to destroy any stray, remaining cancer cells left
behind after surgery. With DCIS you did not have invasion, which is why
chemo is not required. There has been much discussion on these boards
and other places online about "overtreatment" of DCIS which includes
mastectomy and radiation. Another forum to check out might be the DCIS forum here, to ask others with the same diagnosis about their choices.In the meantime, let me ask you this - what does YOUR gut tell you to do? What do YOU feel most comfortable with? There are risks with any treatment - even surgery - that we cannot predict nor control. I had left-side rads, in an area that was directly in the line of my
heart/lungs. I had to use a breathing machine that forced me to "hold"
my breath at a specific point so that the radiation would hit "as little
of my heart and lungs as possible" (their words, not mine). In essence
- I radiated my cancer AND my heart and lungs. I had to weigh the risks and benefits, and after much thought I chose radiation. Then again, I was dealing with an aggressive, invasive cancer, and I wasn't taking any chances.Keep researching your choices until you come to the decision YOU can live with.
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LOL! Oh I yelled at him yesterday that its "My body MY CANCER!!!"
Thank you all so much for the input. I do believe in alternative treatments for many things. Cancer is not one that I want to mess around with. If I want to use tea tree oil for acne or lav oil to help me sleep-- awesome! What's the worst that can happen, right? Cancer, not so much, IMHO.
Mods- I really appreciate the links! I have been reading over them carefully and they support my decision to go ahead with it.
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faery...I had 33 RADS treatments following a lumpectomy. I have Stage II, Grade 1 BC. I also had the Oncotype test done at the request of my Oncologist to determine what treatment would be best for me. I had a micromet in my SN. My score came back@11 and my tumor was determined to be non-aggressive. To be honest I never thought about NOT doing them. According to my Oncotype test I have an 8% chance of recurrence with RADS and Tamoxifen for 5 years. I didn't have any issues with the RADS except for slight burning and fatigue. That's not to say down the road I won't have the after effects but sometimes I think you have to roll the dice and take your chances. I don't want to look back in a few years and say what if or why didn't I but that's my personal decision. My husband didn't offer any input in my decision; he figures by now I have done my homework and decided to go with the doctor's recommendations. Good luck....diane
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Take care of yourself in the best way you can! IT IS YOUR LIFE! Don't take/let negative people go to appts with you. For every 'horror' story that are posted on the internet - there are probably 100 of us who have done all we could to live (chemo, suegery, rads, ht) to fight and have/are winning the battle.
There are many sites that can be found on that 'quack Dr Google' if 'you' have already decided on what you have already decided is fact, nothing can change the thoughts of those already closed minded. Is it possible to have 'something' come up in the future - sure - either way: doing rads or not. Personally, for me, I'd rather to do all I can to try to prevent it if there is anything that might. No one knows what will happen, even in the next minute so I will always do what is best for me - not someone stuck in their preconcieved idea for me.
It might be a good idea to talk with the BC Navigator at your Center, for some insight or sources to help him dealing with what is going on.
What is "Rick Simpson oil".
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ty edwards and kicks! You pretty much have nailed how I feel. It truly is my decision. If I decided top not go through rads and it came back, I cannot imagine the anger and blame I would place on him. That would not be good.
Rick Simpson oil is cannabis oil/medical marijuana that has been shown to kill cancer cells.The research is impressive but has mostly been done on mice or rats, or on cells in vitro. Most everything else is people telling their story, I am blanking on the proper term
I have a degree in experimental psych and I guess I am too rooted in that area of experiments and research and publications and so on.
(Oh--the word i blanked on-- its anecdotal! LOL)
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Faerywings,
My DH just retired after 45 years as an organic chemist and he likes to say, "The plural of anecdote is not data."
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I did rads, left side. No problems then or now. It is very targeted now (as opposed to 'the old days') so rarely has serious SEs. Radiation is considered part of the treatment if you have a lumpectomy; so yes, it very much lowers your recurrence risk....and if it recurs, then you are talking mastectomy, possible chemo, possible death......no brainer to me, do the radiation now.
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Faerywings - you can only do RADS once so if you didn´t do it now and you did have a recurrence then rads would be on the table for the future. I do have complications from Rads, and think it was the wrong choice for me........but I have not had a cancer recurrence in the rads area and am 18 months post last rads treatment now.
It is your life and body and you have to live with the consequences of your decision so do be guided by what will give you most peace of mind. as your husband is so anti rads you need to factor in the stress his opposition might cause you so maybe a balance sheet of pros and cons for you would help? Given that you are DCIS you do have flexibility in your choices and I do have to say that the risk recurrence you were given seems high to me for DCIS alone.
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Keep in mind that the heart and lung issues can show up 5, 10, 15 years later, at which point it is more difficult to assign culpability strictly to rads. You will see some stats on immediate, acute problems caused by rads and the percentage is not too high, but in the long term I feel the problems are under-reported.
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You wrote: "I would kick myself if I don't do rads now and in 10-20 years its back and is worse than DCIS"
BCO wrote (in second article link up above):
"Recurrence risk was much lower in women treated with radiation therapy
after surgery. Still, if cancer did recur in women who got radiation,
there was a more than 50% risk that the cancer would be invasive
compared to a 38% risk in women who didn't get radiation therapy after
surgery."and
"Late recurrence (cancer coming back more than 10 years after the
original DCIS diagnosis) also was more likely in women treated with
radiation therapy after surgery. About 33% of women who got radiation
after surgery for DCIS who had a recurrence had a late recurrence
compared to 9% of women who got only surgery."---------------------------------------------
Radiation has the potential to cause some grave collateral damage to internal organs. I don't think I would take the risk for a non-invasive cancer where the grade was not aggressive, but I have not been in your position, faerywings, so good luck in sorting through all the info. and making your choice.
[Personally, I did have rads. Minor to moderate skin issues & fatigue at the time. Then a few years later, on imaging, I had a lung "nodule" that had not been there before. I've got to wonder about that, don't I?]
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Actually the risk of recurrence you were given is quite reasonable for DCIS treated with lumpectomy alone. Many factors affect your individual risk but 20-30% is not extremely high or low.
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I don't know if you are still deliberating this, but I was informed by a friend with DCIS that rads are given to DCIS patients in the chance that other undisclosed DCIS remains, and that when DCIS recurs it might not be found until it has gotten invasive (IDC.) So, I better understand why a person might choose to lower that risk (by about half) with rads.
Still, for me, I think I would avoid the rads if I had DCIS surgery with clear margins and no invasion discovered; and if the pathology of the cancer showed it was not a high grade of aggression. Either way, you will be monitored closely for recurrence. Either way, whichever you choose, I hope your cancer is gone for good.
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I have just been diagnosed with DCIS as well. I don't have my lab report so not sure what grade. Going for MRI on Friday to check to see if more lurking. Need to have re-excision for clear margin. I'm also leaning towards no rads if low grade. I was diagnosed with LCIS 5 years ago and have been closely monitored ever since. With or without rads I will still be followed closely and believe any future issues will be discovered in early stages. With one shot on the rads I dont think I want to use it on low grade DCIS.
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