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Radiation Therapy

Standard radiation therapy (also called radiotherapy) uses targeted, high-energy X-rays or other forms of radiation to kill cancer cells.

The goal of radiation therapy is to kill any cancer that might be left in the breast or nearby lymph nodes after breast cancer surgery.

Radiation therapy is an option for many women who have:

Radiation therapy is standard treatment for most women who have:

Learn about emerging areas in radiation therapy.

Radiation therapy and DCIS

Radiation therapy is often recommended for women who are treated with lumpectomy (also called breast-conserving surgery) for DCIS.

In rare cases, radiation therapy is recommended following a mastectomy for DCIS.

Learn more about treatment for DCIS.

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For a summary of research studies on lumpectomy plus radiation therapy in the treatment of DCIS, visit the Breast Cancer Research Studies section.

Radiation therapy and invasive breast cancer

After lumpectomy

Radiation therapy is usually recommended after lumpectomy.

Radiation therapy can lower the risk of [4]:

  • Breast cancer recurrence in the treated breast
  • Breast cancer death

Some women 70 and older who have small, lymph node-negative invasive breast cancers that are estrogen receptor-positive (and who will get hormone therapy) may be able to avoid radiation therapy after lumpectomy [8].

After mastectomy

Many women who have a mastectomy don’t need radiation therapy.

However, in some cases, radiation therapy is used after mastectomy to treat the chest wall and lymph nodes. These can include the lymph nodes in the underarm area (axillary nodes), around the collarbone or near the breastbone (internal mammary nodes).

 

Radiation therapy is carefully planned and precisely given. Your treatment is tailored to your breast cancer and your body.

Learn about planning and treatment sessions for radiation therapy.

Radiation therapy has some short-term side effects (such as skin redness and tenderness) and for some people, long-term side effects (such as lymphedema).

Learn more about possible side effects of radiation therapy.

Not everyone can have radiation therapy. Being pregnant, having certain health conditions or having certain inherited gene mutations can increase the side effects of radiation therapy.

  • Pregnancy. Radiation can harm a fetus. Depending on the timing of the pregnancy and the breast cancer diagnosis, you may be able to have a lumpectomy and wait until after delivery to have radiation therapy.
  • Scleroderma or Systemic Lupus Erythematosus (SLE). Radiation therapy can cause harm to normal tissue during and after treatment in people who have scleroderma or SLE. In some women at higher risk of breast cancer recurrence, radiation therapy may still be used.
  • Some inherited gene mutations. Radiation therapy can cause harm to normal tissue during and after treatment in people who have certain inherited gene mutations. In some women at higher risk of breast cancer recurrence, radiation therapy may still be used.
  • Past radiation therapy to the same breast. In general, radiation therapy to the breast can only be given once. However, recent data suggest repeat radiation therapy to a portion of the breast may be a reasonable option for some women [5]. Also, repeat radiation to the chest is sometimes recommended in the treatment of breast cancer recurrence.

Women with breast implants (saline or silicone) can usually have radiation therapy. However, radiation therapy can impact the cosmetic look and the long-term viability of the implant (whether the implant will fail and need to be removed).

Side effects of radiation therapy on breast implants

Radiation therapy can cause scarring and hardening of the implant, leading to a poor cosmetic look and/or chronic pain in the breast area. In these cases, the implant may need to be removed.

Radiation therapy and breast reconstruction with implants

If your treatment plan includes mastectomy, radiation therapy and breast reconstruction, discuss possible risks with your plastic surgeon and radiation oncologist.

Learn more about breast reconstruction.

New radiation therapy methods are under study in clinical trials.

Learn about emerging areas in radiation therapy. 

Learn more about clinical trials.

  • Why do you recommend radiation therapy for me?
  • Is there a clinical trial I can join?
  • How will radiation therapy affect my risk of a local breast cancer recurrence, metastasis or a new breast cancer? Please explain the differences.
  • How long will each treatment session take? How many sessions will I have?
  • When will I begin radiation therapy? Can I choose the days and times of treatment?
  • Can I have accelerated (shortened course) whole breast radiation therapy?
  • Can I come to treatment sessions alone, or should a friend or family member come with me?
  • What clothes should I wear to the treatment sessions?
  • Can I wear deodorant to the treatment sessions?
  • What lotion, soaps or other skincare products should I use or avoid during the course of treatment?
  • Can I wear a bra during the course of treatment?
  • What side effects should I expect? How long might they last? What symptoms need medical care?
  • What problems should I report to you right away?
  • What are the long-term risks of radiation therapy?
  • Who do I contact if I have problems or questions about my treatment? What about on weekends or holidays?
  • What precautions should I take during treatment?
  • Can I continue normal activities? Are there activities I should avoid?
  • Where can I find a support group for people who have breast cancer (or people who have any type of cancer)?
  • Should I continue to see my regular doctor or gynecologist during my treatment?
  • How often will I have check-ups and follow-up tests after treatment ends? Will a follow-up care plan be prepared for me?
  • Which health care provider will oversee my follow-up care?
  • Who can talk with me about the cost of my treatment (including the expenses covered by my insurance and the costs I should expect to pay out-of-pocket)?

Learn more about talking with your health care provider.

If you’ve been recently diagnosed with breast cancer or feel too overwhelmed to know where to begin to gather information, Susan G. Komen® has a Questions to Ask Your Doctor About Radiation Therapy and Side Effects resource that might help.

You can download, print and write on the resource at your next doctor’s appointment. Or you can download, type and save it on your computer, tablet or phone during a telehealth visit using an app such as Adobe. Plenty of space and a notes section are provided to jot down answers to the questions.

There are other Questions to Ask Your Doctor resources on many different breast cancer topics you may wish to download.

 

Treatment guidelines

Although the exact treatment for breast cancer varies from person to person, guidelines help ensure high-quality care. These guidelines are based on the latest research and agreement among experts.

The National Comprehensive Cancer Network (NCCN), the American Society of Clinical Oncology (ASCO) and the American Society for Radiation Oncology (ASTRO) are respected organizations that regularly review and update their guidelines.

In addition, the National Cancer Institute (NCI) has treatment overviews.

Talk with your health care team about which treatment guidelines they use.

Importance of following your breast cancer treatment plan

Breast cancer treatment is most effective when all parts of the treatment plan are followed as prescribed.

It’s important to follow the treatment plan prescribed by your health care provider in terms of:

  • Timing
  • Dose
  • Frequency

People who complete their full course of treatment have a higher chance of survival.

Completing radiation therapy

Radiation therapy after lumpectomy lowers the risk of breast cancer recurrence and may increase the chances of survival [4]. It’s usually recommended after lumpectomy.

Radiation therapy for early breast cancer most often involves treatment once a day, 5 days a week, for 1-6 weeks.

Getting to and from the treatment center every day for weeks can be hard, especially if you live far away or, if others rely on you for care.

There may be resources available if you need a ride to and from treatment or help with child or elder care. Family and friends often want to help, but don’t know how. These are great ways for them to get involved.

Sometimes, there are programs that help with local or long-distance transportation and lodging (if you need a place to stay overnight during treatment).

There are also programs that help with child and elder care costs.

It’s OK to ask for help. It’s important to complete your radiation therapy without gaps or delays.

Learn more about the importance of following your breast cancer treatment plan.

Komen Financial Assistance Program

Susan G. Komen® created the Komen Financial Assistance Program to help those struggling with the costs of breast cancer treatment by providing financial assistance to eligible individuals.

Funding is available for eligible individuals undergoing breast cancer treatment at any stage or living with metastatic breast cancer (stage IV).

To learn more about this program and other helpful resources, call the Komen Breast Care Helpline at 1-877 GO KOMEN (1-877-465-6636) or email helpline@komen.org.

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You’re not alone

If you’re facing radiation therapy, remember, many people have been where you are today. They had the same fears. They’ve gone through breast cancer treatment, recovered and are living their lives.

Sharing experiences and advice with others going through radiation therapy or those who have finished treatment may help.

We have a list of resources for finding local and online support groups. Your health care team may also be able to help you find a local support group.

Learn more about social support and support groups.

SUSAN G. KOMEN® SUPPORT RESOURCES 

  • If you or a loved one needs more information about breast health or breast cancer, contact the Komen Breast Care Helpline at 1-877 GO KOMEN (1-877-465-6636) or email helpline@komen.org. All calls are answered by a trained specialist or oncology social worker, Monday through Friday from 9:00 a.m. to 10:00 p.m. ET. Se habla español.
  • Komen Patient Navigators can help guide you through the health care system as you go through a breast cancer diagnosis. They can help to remove barriers to high-quality breast care. For example, they can help you with insurance, local resources, communication with health care providers and more. Call the Komen Breast Care Helpline at 1-877 GO KOMEN (1-877-465-6636) or email helpline@komen.org to learn more about our Patient Navigator program, including eligibility.
  • Komen Facebook groups provide a place where those with a connection to breast cancer can share their experiences and build strong relationships with each other. Visit Facebook and search for “Komen Breast Cancer group” or “Komen Metastatic Breast Cancer group” to request to join one of our closed groups.
  • Our fact sheets, booklets and other education materials offer additional information.

Updated 05/30/22