Proton Therapy for Breast Cancer
Radiation therapy is used as a component of therapy for all stages of breast cancer. Proton therapy is a unique type of radiation treatment that can precisely target and deliver high radiation doses to a tumor to kill cancerous cells. Proton therapy may be especially beneficial for breast cancer patients by minimizing damage to nearby tissue and critical organs such as the heart and lungs.
The MD Anderson Proton Therapy Center treats the following types of breast cancers:
- Ductal carcinoma in Situ
- Inflammatory breast cancer
- Invasive ductal carcinoma
- Invasive lobular carcinoma
- Triple negative breast cancer
Proton therapy is able to treat patients with early stage breast cancer who undergo breast conserving surgery with minimal or no tissue rearrangement with proton partial breast irradiation on trial. We also treat patients who require radiation after mastectomy on a trial comparing proton post mastectomy radiation therapy to traditional photon post mastectomy radiation therapy. Additionally, we treat select patients with breast cancer who previously received radiation therapy close to where we need to target.
Customized breast cancer treatment
MD Anderson Proton Therapy Center is able to offer a customized breast cancer treatment including the most advanced form of proton treatment called pencil beam scanning.
Pencil beam scanning proton therapy delivers a single, narrow proton beam that is magnetically swept across the tumor, depositing radiation like a painter's brush, without the need to construct beam-shaping devices.
The advantage lies in the beam's capacity to approach the tumor from multiple directions, creating a "U" shape around critical structures and minimizing the dose to them during treatment.
As an MD Anderson employee, and someone who has worked in clinical research for many years, I know how important cancer screening exams are and the benefits they offer when it comes to early detection. Even being armed with this knowledge, I still skipped my mammogram for two years. I was guilty of doing what so many women do: focusing on caring for other people.
You can’t put off your mammogram forever
Cancer has taken a lot of people I love within my immediate family: my father (leukemia), my grandfather (head and neck cancer), my uncle (glioblastoma) and this year, my baby brother, who was diagnosed with a very rare cancer. It was my brother’s third surgery that finally prompted me to schedule my mammogram. The day after his last surgery, I was sitting at my desk and realized how long it had been since I’d had a mammogram, so I made an appointment at MD Anderson’s Cancer Prevention Center.
It was easy and convenient to get my mammogram at MD Anderson. But when I learned the results were abnormal, I had a tough time dealing with the news. We had lost our home in Hurricane Harvey in 2017. In 2018, a good friend was diagnosed with ovarian cancer and my husband had a stroke. I was already in such an emotional place, and I felt like I couldn’t deal with one more thing. Still, I realized that I couldn’t ignore the abnormal result forever.
Breast cancer screening caught my cancer early
Based on that initial mammogram, MD Anderson asked me to come back for an ultrasound and then a biopsy. Because of all the cancer in my family, they recommended genetic testing, too. It turns out my cancer was random. I didn’t have the HER2 gene or any other genetic predisposition for cancer. The good news was it had been caught early and hadn’t spread to my lymph nodes.
I was diagnosed with grade I invasive ductal carcinoma in situ (DCIS). If I had waited another year to get my mammogram, there’s no telling what could have happened. It could have been much worse.
Doing my part for diversity in clinical trials during my breast cancer treatment
Because I’ve worked in clinical research for 26 years, including 12 years at MD Anderson, I know how very important clinical trials are, especially for minority ethnic groups, including African-Americans. Before my doctors even talked to me about my treatment options, I knew that if there was any type of clinical trial I could join, that’s what I wanted to do.
A lot of times, people don’t want to take the risk of joining a clinical trial; they want to go with the standard of care. But clinical trials are how we find new cancer treatments. Sometimes treatments work for one group of people and not another group, but the only way we know that is if a diverse group of people participate. Clinical trial enrollment among African Americans is particularly low, so it was very important to me to participate.
Support systems helped me through breast cancer treatment
After undergoing segmental mastectomy surgery with Dr. Sarah DeSnyder in September 2019, I began proton therapy twice a day for five days. When I was on the table for that first radiation treatment in October, that’s when it really hit me: I have cancer. That was my moment of reckoning and realizing this was really happening. Because of that, I had some anxiety and felt a bit overwhelmed.
But Dr. Strom was so amazing and upbeat. He’s one of those people whose energy fills the room. That helped me a lot, and by the third day I wasn’t as nervous. I began to have radiation burns from proton therapy about a month after I completed treatment, and the side effects lasted for a few weeks. I’ll continue to take an oral medication for five years to reduce the chances of the cancer coming back.
In addition to Dr. Strom and his team, Dr. DeSnyder and my breast medical oncologist, Dr. David Ramirez, I also see an endocrinologist, and through MD Anderson’s Integrative Medicine Center, I see a nutritionist and therapist. All of these experts help me cope and deal with my cancer diagnosis, as well as some of the side effects. I have the most amazing care team!
I also have an awesome support system. My family, friends and church communities, both in Houston and my hometown of New Orleans, and my phenomenal co-workers have all helped me through this. I’ve realized that the issues in our lives and the things we deal with all the time don’t go away when you get a cancer diagnosis. But if you’re not well and healthy, you can’t take care of anybody else. It sounds cliché, but it’s so true.
Keeping up with mammograms during the COVID-19 pandemic
I’m always reminding my friends and the women in my family to get their annual mammograms on their birthdays, even now. If something is wrong, it’s not going to wait for COVID-19 to be over. I’ve gone to several follow-up appointments since COVID-19 began and felt very safe with all of the precautions MD Anderson has put in place. I went through entry screening and was given a medical-grade face mask to wear. Everyone was wearing a mask and practicing social distancing – I only came into contact with the people I absolutely had to. I tell other women, if you can put on a mask and go to the grocery store, you can put on a mask and get a mammogram.
As I know all too well, you can’t let anything – your busy schedule, anything going on with your children or spouse, or even COVID-19 – prevent you from taking care of your own health. A mammogram only takes a few minutes; it probably takes longer to dress and undress for the exam. I’m so glad I got my mammogram when I did and my cancer was detected early. With a breast cancer diagnosis, every woman’s story is different, but I hope that sharing my experience will encourage another woman to get her mammogram. It just may save a life.
If I had waited another year to get my mammogram, there’s no telling what could have happened.
DID YOU KNOW?
How early detection saved my life
"I had no symptoms, no lump, no pain, but my annual mammogram revealed invasive lobular breast cancer."
Keeping up with daily routines after treatments
"I had no family history of breast cancer, so I was shocked to find out from my annual mammogram that I had stage I ductile carcinoma."
Creating a masterpiece from my journey
"Get all of the information you can from the MD Anderson professionals and then make the best decision for you."
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