Radiation therapy is an adjuvant treatment method
In the treatment of Breast cancer
plays a very important role
is also a treatment link that many breast cancer patients must go through after surgery
During the radiotherapy process
naturally inevitably some side reversals will appear naturally.
Side reaction has always been
is also a topic that patients are very concerned about
Ms. Lin’s family:
Mys. My mother is 72 years old and her health has not been very good. In March last year, she underwent a modified radical surgery for double breast invasive cancer in the fifth department of Breast Surgery in Nanchang Third Hospital. Now, both breast needs radiotherapy. Can the elderly withstand it? Will radiotherapy be painful? Are there any side effects?
Ding Jingxian, Deputy Director of the Department of Radiotherapy of Nanchang Third Hospital:
Complications of radiotherapy for breast cancer include local skin reactions, upper limb edema, Radical pneumonia , heart damage, etc. Your mother's radiation therapy requires irradiation of bilateral chest wall and bilateral superior and inferior lymphatic drainage areas. The target area for radiation therapy is not only doubled in scope but also irregular in shape.
After fully evaluating her physical condition, pathological report, lymph node metastasis and postoperative recovery, we gave her accurate CT positioning. While ensuring that the planned target area is adequately exposed, normal organs such as both lungs, heart, and spinal cord are strictly limited according to the standards to maximize the control within the safe range.
How to protect normal organs to the greatest extent while radiotherapy
To achieve "fish and bear's paw" and have both
is a difficult problem for radiotherapy
is also a severe challenge to the radiotherapy team
Follow-up:
Follow-up:
Ms. Lin successfully completed 25 radiotherapy sessions, satisfied with the efficacy, and no obvious radioactive skin and mucosal reactions, radiopneumonia and other acute radioactive injuries occurred. The condition is currently stable, and the long-term efficacy is still under further follow-up.
1 article will help you quickly understand breast cancer radiotherapy
1, What is breast cancer?
Breast cancer is a malignant tumor formed by abnormal hyperplasia of breast tissue.
2, What is radiotherapy?
Radiotherapy is a local treatment method to kill tumor cells through the ionizing radiation effect of radiation.
3, Which breast cancer patients need radiation treatment?
○ After breast conservation surgery: In principle, all breast conservation patients need radiotherapy, and some low-risk patients may consider exemption from radiotherapy.
○ After mastectomy: breast tumor diameter exceeds 5cm, axillary lymph nodes have metastases, positive margins or close margins.
○ Local recurrence
○ Distant transfer
4, 11 precise radiotherapy process?
can be divided into six steps: patient treatment plan determination, simulated positioning, target area outline and treatment plan design, treatment plan confirmation, radiotherapy implementation, post-radiotherapy rehabilitation and follow-up.
5, Common side reactions and countermeasures
Systemic reaction
Radiation treatment may cause gastrointestinal dysfunction, resulting in loss of appetite, acid reflux, nausea, vomiting, and subsequent fatigue, fatigue, etc. It is recommended to eat less and more meals, eat high-protein, vitamin-rich foods, etc.
Skin reaction
Radiation treatment is performed for about 2-4 weeks. The skin in the irradiated area may experience pigmentation, dryness, itching, and even epidermis, which may fall out and exudate. It is recommended to wear loose cotton clothing, avoid scratching, friction, direct sun exposure in the treatment area, keep it clean and dry, and prevent infection.
Myelosuppression
During radiation therapy, the damage to bone marrow cells was broken, and the balance between cell proliferation and apoptosis was followed. Then, leukocyte , platelet , hemoglobin, etc. It is recommended to test blood routine every week, and be treated with oral or injection according to the test results.
Radical esophagitis
Radiation treatment is performed for about 2 weeks, and patients may experience sore throat, dysphagia , etc. It is recommended to eat foods with appropriate temperature and softness during radiotherapy.
Today's radiotherapy
In many aspects, localization technology, ray type
reduces normal tissue and organ dose, etc.,
has greatly improved
Breast cancer radiotherapy As a very important part of comprehensive treatment
When doctors choose radiotherapy plans for patients,
also adopt individualized and precise treatment principles
not only reference molecular typing
but also consider many factors such as surgery and systemic treatment progress
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Patients and their families
should correctly understand the side reactions of radiotherapy
Don’t listen to and believe in some
’s false “legends” about radiotherapy
blindly refuse radiotherapy
Introduction to radiotherapy department
0
00 radiotherapy department since its establishment. The department currently has 19 full-time medical staff engaged in tumor radiation diagnosis and treatment, including 1 deputy chief physician, 4 attending physician, 2 doctors, 2 supervisor nurse html, 1 engineer, 2 assistant engineer, 2 supervisor technicians, and 6 technicians. Ding Jingxian, the head of the department of
, graduated from , Fudan University, in 2013, received a doctorate in oncology. In 2015, he was funded by the "Light of the West" Visiting Scholars Project of the Organization Department of the Central Committee of the Communist Party of China, and went to , Fudan University Affiliated Cancer Hospital to study tumor radiation therapy again. As the head of the department, Ding Jingxian has been sent to Cornell University in the United States for research fellow and the MD Anderson Cancer Center of the University of Texas in the United States to study tumor radiotherapy , with a broad international perspective.
Author: Department of Radiotherapy, Nanchang Third Hospital, Li Qingge, Ji Qiao, Ji Qiao,
Correspondent: Ren Wei Hu Jia
Edited by: Huang Mengmei
Reviewed by: Chen Shirui
Issued by: Xie Tao
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