CommunitiesIn Treatment For Breast CancerShould I choose 1 week or 3 week radiation for breast cancer?

Should I choose 1 week or 3 week radiation for breast cancer?

CC

Community Member

a month ago

1 week vs 3 weeks of radiation??? Hi! I have stage 1 A left sided invasive ductal carcinoma HR/PR +, Her2- with no lymph node involvement. One month ago I had a lumpectomy with bilateral breast reduction. Oncotype score low, genetic testing was negative so no chemo needed. I recently met with the radiation oncologist and was given the option of 1 week (5fractions) vs 3 weeks (16 fractions). It would be the same dosage of radiation for both treatments. I was told efficacy and side effects are the same for both treatments. I don’t know which route to go. I am leaning toward one week (just get it over with), but have sensitive skin and not sure if all that radiation in one week will have a worse outcome for me rather than spreading over three weeks. Also concerned about my heart and fatigue. Has anyone had experience with 1 week radiation treatment? Do you recommend rather than 3 weeks? I know everyone is different, but just looking for people’s experiences/thoughts. Thanks!!!

2 comments
Comment
CA

Community Member

a month ago

Both the hypofractionated (1 week) and conventional fractionated (3 weeks) radiation schedules have been shown to be effective treatment options for early-stage breast cancer like yours. Many patients find the shorter schedule appealing for convenience, while others prefer the longer schedule to allow their skin more time to recover between treatments. This decision is very personal and depends on factors like your skin sensitivity, lifestyle, and treatment preferences - discussing these specific concerns about your sensitive skin, heart, and fatigue with your radiation oncologist can help you make the choice that feels right for your situation.

JB

Community Member

a month ago

Hi. I also had stage 1 invasive ductal carcinoma with no lymph node involvement. I took the one week option. There was a little fatigue, but it wasn't bad. I'd go with that option again.

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