Post-Surgery Breast Cancer Treatment: Radiation and Dietary Considerations - Surgery

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Postoperative treatment issues in breast cancer?


After breast cancer surgery, if the doctor diagnoses a potential recurrence rate of 20%, is radiation therapy necessary? Can I take fish oil, vitamins, and items containing traditional Chinese medicine (such as Chuanbei loquat syrup and medicinal stewed pork ribs)?

Linlin, 20~29 year old female. Ask Date: 2016/08/27

Dr. Wu Yuting reply Surgery


Q1.
After breast cancer surgery, the doctor diagnosed a potential recurrence rate of 20%.
Is radiation therapy necessary?
A1.
For breast cancer patients who undergo partial mastectomy, have lymph node metastasis, tumors larger than 5 cm, positive surgical margins with tumor invasion, or bone and skin involvement, radiation therapy should be considered.
It is advisable to discuss this with your physician.
Q2.
Is it okay to take fish oil, vitamins, and products containing traditional Chinese medicine (such as Chuanbei loquat syrup and medicinal braised pork)?
A2.
Fish oil and vitamins are nutrients commonly found in regular foods.
A balanced and fresh diet is recommended, and if there are no deficiencies, there is no need for additional supplementation.
Traditional Chinese medicine (such as Chuanbei loquat syrup and medicinal braised pork) has certain therapeutic effects, and it is advisable to supplement based on the recommendations of a licensed traditional Chinese medicine practitioner.

Reply Date: 2016/08/27

More Info


After undergoing surgery for breast cancer, the decision to pursue radiation therapy is crucial and often depends on various factors, including the type and stage of cancer, the surgical margins, and the overall health of the patient. In your case, with a potential recurrence rate of 20%, radiation therapy may be recommended to reduce the risk of local recurrence, especially if the cancer was invasive or if there were any concerns regarding the surgical margins.
Radiation therapy is typically advised for patients who have undergone breast-conserving surgery (lumpectomy) to eliminate any remaining cancer cells in the breast tissue. It can also be beneficial for those who have had a mastectomy if there are risk factors present, such as larger tumor size or involvement of lymph nodes. The goal of radiation is to minimize the chances of cancer returning in the same area, which is particularly important given your stated recurrence risk.

Regarding dietary considerations post-surgery, it is essential to maintain a balanced diet that supports your overall health and recovery. Fish oil, which is rich in omega-3 fatty acids, has been studied for its potential anti-inflammatory properties and may offer some benefits in cancer care. However, it is crucial to discuss any supplements with your healthcare provider, as they can interact with medications or treatments you may be undergoing.

As for traditional remedies, such as herbal preparations like Chuanbei Pipa Gao (a traditional Chinese medicine), it is vital to approach these with caution. While some herbal ingredients may have beneficial properties, they can also interact with conventional treatments or may not be suitable for everyone, especially those undergoing chemotherapy or radiation. Always consult your oncologist or a healthcare professional familiar with both conventional and alternative treatments before incorporating these into your regimen.

In summary, the decision to proceed with radiation therapy should be made in consultation with your oncologist, considering your specific clinical situation. Additionally, maintaining a healthy diet and discussing any supplements or herbal remedies with your healthcare team is essential to ensure they align with your treatment plan and overall health goals. Your healthcare team can provide personalized recommendations based on your medical history and current treatment protocols.

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