Javascript er ikke aktivert i din nettleser. Dette er nødvendig for å bruke Oncolex. Kontakt din systemadministrator for å aktivere JavaScript.

Postoperative Radiation Treatment of the Breast

Follow-up

During irradiation

  • Regular follow-up
  • Consultation with oncologist at the end of the treatment

At end of irradiation

  • The patient should be followed-up at the remitting hospital or possibly at the general practitioner, and preferentially according to the recommendations from the Norwegian Breast Cancer Group.
  • The first consultation after ended irradiation is usually after 6 months, earlier if there is indication for adjuvant treatment with trastuzumab (Herceptin) or if required. Thereafter mammography and consultation with a physician should take place annually for 10 years.

More frequent follow-ups may be relevant for young patients (below 35 years), patients with locally advanced disease and patients where the cancer developed in relation to pregnancy.

Side effects of irradiation

Acute

  • Skin reaction in the form of redness, heat, soreness and edema. Some develops more pronounced irradiation dermatitis with desquamation and ulcerations.
  • Soreness of the pharynx after irradiation of regional cervical lymph nodes.
  • Nausea, most often slight and passing

Late

  • Permanent changes of the skin in the form of fibrosis, pigmentations and teleangiectasies.
  • Varying degree of fibrosis of the lung
  • Deterioration of/persistent lymphedema of the arm on the irradiated side.
  • Contractures and reduced mobility of the shoulder on the irradiated side.
  • Reduced strength of the skeleton, especially of the ribs/clavicle on the irradiated side
  • Slightly enhanced risk for secondary cancer (very small absolute risk)
  • Previously enhanced risk for cardiovascular disease. This is not seen with modern radiation techniques.

Oslo University Hospital shall not be liable for any loss whether direct, indirect, incidental or consequential, arising out of access to, use of, or reliance upon any of the content on this website. Oslo University Hospital© 2018