Radiation therapy worries
I havent had my surgery (lumpectomy) yet and already I am worried about radiation...My skin in very sensitive and I'm afraid that I'll have severe problems with skin. It seems that skin rubbing against skin can cause some issues, so I'm thinking of clothing that might minimize that..I am assuming that I'll get some sort of soft cotton bra (I am a 36AA) to hold everything (what little there is!) in place. I intend to continue working.. How about wearing poncho-type tops to avoid contact with skin under the arm??? I am seriously considering wearing something like that through the entire treatment period (6 weeks) and afterwards for awhile?
Any thoughts out there or suggestions on types of clothing that may help or at least be more comfortable?
Thank you and this is my first post.
Comments
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Hi Tanne, welcome to Breastcancer.org and thanks for posting!
You're sure to receive some very helpful and practical advice from the ever-helpful members here shortly. In the meantime, you may want to check out the main Breastcancer.org site's page in the section on radiation called Managing Skin Side Effects -- some great tips there! Also, our Community has a thread where you can join others going through radiation the same time you are: Winter Rads 2014-2015
We hope this helps! Please let us know how you're doing!
--The Mods
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I'm trying to remember any particular clothing recommendations. I think I was advised to make sure my bra was not too snug (I'm small myself, 36A, so I could have gone without a bra if I had to). Also no carrying your purse on that shoulder, I do remember the nurse saying that. I'm not sure what your situation is, but my radiation field did not extend to the underarm area/side of my body. Not having radiation during the summer will help a lot. In my opinion, keeping your skin in good condition is the most important. I was instructed to use calendula cream everyday. Knowing what I know now, I would use the ointment version, even though it's messier. I don't consider my skin to be particularly sensitive, but it is on the lighter side, and I made it though treatment with only a tiny spot of blistering. When I showed this to the nurse, she gave me some Aquaphor, which I used on top of the calendula cream. She also gave me a few packets of the astringent soak, but I didn't end up using them. I hope you have an easy time of it!
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I did rads during the heat of summer and I remember going in during the first week and getting a scolding for wearing a bra! I'm a 38 C and finding loose clothing to conceal the jiggling was not easy! I found patterned tent style tops the best.
Make sure that you read your calendula creams ingredients because some contain alcohol (drying) and paraffin. I used emu oil and although I'm fair with blue eyes, I did not burn and only ended up with one tiny blister at the end of boosts. My techs kept asking me what I was using because my skin was so good-but I must warn you my mo only wanted me using specific ointments and I went against his recommendation because the emu was working.
There are a lot of women who used emu if you use the search button.
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I wore cotton sports bras through most of radiation ... I had a bit of swelling and found the compression comfortable. The other thing I wore which might work well for someone smaller busted was a cotton cami with a shelf bra. Honestly though, I never had ANY problems with my skin. I used aloe (99% pure) 3x a day and that was it. My skin did get a little red during boosts, but that was about it. And while I wouldn't say I have particularly sensitive skin, I am fair and do sunburn easily. From my understanding, most of the skin on skin problems are not from the underarm area, but from the underside of the breast touching the ribs - I've heard many clever solutions for that, many as simple as folding a cotton handkerchief and placing it there to provide separation.
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I too am very fair and can get sunburn easily, BUT had no absolutely no problems with rads. I used Aquaphor religiously, as directed by rad onc, throughout, and nothing else except Dove unscented soap as she recommended.
Rad onc said to wear a bra (cotton only) only as needed, if possible--much easier for an AA than for a 36D!--and to roll up a cotton sock (or man's cotton handkerchief), dust it with pure cornstarch or cornstarch-only baby powder (NO TALC), and insert it in the fold under the breast to avoid skin-on-skin contact.
She also advised keeping the armpit area open at all times by putting hands on hips or in belt loops when standing, walking, etc., and to always sit with the arm on the treated side over the back of a neighboring chair.
Good luck--with attention to details, you'll do fine!
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THANK YOU all so much for the responses! I had read so much about weeping skin, melting fat that it really had me worried!! Any advice on where to get a plain cotton bra??
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My RO told me that being fair skinned has nothing to do with tendency to burn. It's more to do with the amount of skin being radiated. That turned out true for me. I am extremely fair and didn't burn. I got a teeny bit pink by the end but not burned. However, do use the creams they recommend. I think that's important.
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I used Aquaphor religiously and didn't have any problems other than to get red and feel hot at the end (like a sunburn from the inside out). Never put any lotions on in the morning before your zap because it can intensify the burn. But I brought a small tube with me to the clinic and smeared it on in the dressing room before I left and also again at night. I wore OLD cotton bras (so I could throw them away at the end as they were all oily) and whenever possible I did not wear a bra at all. Loose, flowy, comfortable tops would be best. I bought a very small fan and would prop it on my stomach and have the air flow over my chest when I was sitting around watching TV & a big fan for night (I would pretty much have the fan blowing right on the boob). I always used Dove soap too. Remember you will want to stay with whatever you are doing for the two weeks following your last treatment as the radiation will still be doing its thing. I didn't have any problems then or later (that boob is actually fuller than the 'good' one), but a large busted friend who had some blistering used a maxi pad under her breast as cushioning. Best of luck!
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Hi tanne, I could not wear any bras - starting from a few days into the treatment. I had implants so it didn't really matter. I worked during treatment and used to wear cotton camisoles under cotton button-down shirts and added colorful scarves by the end of treatment to hide inevitable spots from ointments and burns on the neck from radiation to supraclavicular.
Speaking of cotton bras I have a pair from Macy's. I think you might find them on Nordstrom's website too.
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Tanne--I found Bestform all-cotton sports bras at Kmart for $6 (with hook closures). Also found over-the-head type ones there for $5, and just wore them inside out so that the 5% synthetic shaping liner layer was on the outside. .
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I'm also very fair and had no unexpected issues. I wore a super-soft white T shirt under everything, including my bra (on the few occasions when I wore one--winter layers can be a huge benefit). I used emu oil mornings (four hours before treatment), and a couple of times during the afternoon and evening. Immediately after each treatment, I used the tube of Jeans Cream the facility handed out (tube way more tidy and portable than a jar of oil). The Tshirt protected my clothing and nightgowns against the oil and cream and also against the sharpie marks the techs made over my tattoos. I really, really liked the thought that only nice, soft, clean, white cotton touched my delicate skin.
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Thanks for all the info! I'll try K-Mart. Amazon has some nice post surgery bras, but they all seem to have a high synthetic content.
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