5 day (“Fast Forward”) radiation schedule

Hi Kiki12345678,

I too am discussing accelerated partial breast irradiation with my radiology oncologist. I am scheduled for a SLNB on December 2 and if they are clear, then I will be a candidate for partial breast radiation. I was also told that I could have whole breast in a 5 day course if necessary. He sited the UK FAST study and the latest guidelines during my consultation last week. Convenience is a big factor with me...getting it over with in one week. I would like to know if anyone whose had this experience personally and has any tips or feedback to share?

My diagnosis was originally DCIS in May, but after my lumpectomy in August, the pathology was ambiguous, and there was a 2nd, then 3rd opinion which showed an invasive component. So now SLNB before radiation. Hoping to get this all complete before the end of the year.

Kiki12345678, when will you start radiation?

Hi KiKi2345678,

I started a five-day course of whole breast radiation yesterday and will finish on Friday. I met with two radiation oncologists, one of whom recommended the five-day approach and one of whom recommended the traditional four-week approach (15 days of whole breast radiation and five days of a boost).

One of the reasons I hesitated to go with the shorter course is that outcomes data is only available for five years. (I'm young--and optimistic!--enough that I'd rather talk in terms of 40.) The four week approach has a longer track record. Ultimately, though, convenience won out.

I would be happy to keep you posted on how things unfold for me of that would be helpful to you. I have found decisions about radiation--whether to do it at all, five treatments versus 20, whole breast versus partial breast--to be the most difficult yet. At the same time, I recognize that I am lucky to have choices. I wish you all the best in making your own decisions.

ElleDee

Hi Kiki,

I consulted with radiation oncologists at two different major cancer centers, both of which are destinations of the sort you describe. I do think institutional culture factors in, with some places more inclined toward the tried, true, and proven and others more open to the new and emerging.

I’m in the waiting room now, but I’m going to send you a private message with more detail after my appointments. I’d love to learn more about your experience, too.

Best wishes,

ElleDee