Medically Reviewed by Jabeen Begum, MD on March 24, 2025
Radiation Therapy for Breast Cancer
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Radiation Therapy for Breast Cancer

Radiation therapy is a common treatment for breast cancer, often used after surgery to reduce the risk of cancer returning. For many years, it's been a standard part of care for women who've had breast-conserving surgery, also known as a lumpectomy. However, recent research suggests that some older women might be able to skip radiation without significantly increasing their risk.

New Findings for Older Patients
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New Findings for Older Patients

A groundbreaking study has shown that women over 65 with early-stage, hormone-receptor-positive breast cancer might safely skip radiation after a lumpectomy. This is particularly true for those taking hormone-blocking pills. The research found that women who were randomly chosen to skip radiation had the same 10-year survival rate as women who got the extra treatment. But those who didn’t get radiation were much more likely to have their cancer come back and need more treatment.

Weighing the Benefits and Risks
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Weighing the Benefits and Risks

If you're an older woman with early-stage breast cancer, you might now have more treatment choices. Skipping radiation could mean fewer side effects and a simpler treatment plan. However, this option isn't suitable for everyone. Your decision should be based on factors like your overall health, the specific characteristics of your cancer, and your personal preferences.

Radiation Therapy Side Effects
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Radiation Therapy Side Effects

While radiation can be effective in preventing cancer recurrence, it does come with potential side effects. These can include fatigue, skin irritation, and in rare cases, long-term effects on the heart or lungs. For older patients, these side effects might be harder to manage. By potentially avoiding radiation, some women might experience a better quality of life during and after treatment. But it's important to weigh these benefits against the small increased risk of cancer recurrence.

Hormone-Blocking Medication
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Hormone-Blocking Medication

For women with hormone-receptor-positive breast cancer, hormone-blocking medication plays a crucial role in treatment. These medications, taken for several years after surgery, help prevent cancer from returning by blocking the effects of estrogen on cancer cells. The study found that women taking these medications had good outcomes even without radiation.

Making an Informed Decision
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Making an Informed Decision

If you're over 65 and have been diagnosed with early-stage breast cancer, talk to your oncologist about your treatment options. Discuss the potential benefits and risks of skipping radiation in your specific case. It's OK to ask questions and take time to make a decision that feels right for you. Your health care team is there to support you in making the best choice for your health.

This content was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.