Radiation therapy is often used in the treatment of lung cancer. Tumors are made up of cells that are reproducing at abnormally high rates. Radiation therapy specifically acts against cells that are reproducing rapidly. Normal cells are programmed to stop reproducing (or dividing) when they come into contact with other cells. In the case of a tumor, this stop mechanism is missing, causing cells to continue to divide over and over. It is the DNA of the cell that makes it capable of reproducing. Radiation therapy uses high energy x-rays to damage the DNA of cells, thereby killing the cancer cells, or at least stopping them from reproducing.
The radiation used to destroy cancer cells can also hurt normal cells in the surrounding area. However, normal cells are growing more slowly, and are better able to repair this radiation damage than are cancer cells. In order to give normal cells time to heal and to reduce a patient's side effects, radiation treatments are typically given in small daily doses, five days a week, over a six-or seven-week period.
The side effects from radiation treatment are directly related to the area of the body being treated. Side effects are caused by the cumulative effect of radiation on the cells; therefore most patients do not experience any side effects until a few weeks into their treatment. While side effects may be unpleasant, there are treatments to help deal with them. Most side effects are temporary, disappearing gradually after therapy is complete.
Most radiation oncologists see their patients at least once a week while the patient is receiving treatment. This visit with the healthcare team serves as an opportunity to ask questions, discuss any side effects, and implement any necessary interventions to help relieve the side effects. However, you can report concerning symptoms any time to your treatment team.
The following list includes some of the most common side effects of radiation therapy for lung cancer. Remember that the treatment can affect each patient differently, and you may not experience these particular side effects. Talk with your radiation oncologist and health care team about what you can expect from your specific treatment.
The side effects discussed thus far tend to occur during treatment up until a few months after treatment. Long-term effects can occur months to many years after cancer treatment and the risks vary depending on the areas included in the field of radiation and the radiation techniques that were used, as these continue to develop and improve. Some of the potential long-term side effects of radiation to the lung includes:
After treatment, talk with your oncology team about receiving a survivorship care plan, which can help you manage the transition to survivorship and learn about life after cancer. You can create your own survivorship care plan using the LIVESTRONG Care Plan.