The treatment will be explained in detail at your outpatient appointment. You will usually be given some written information. If you agree to proceed you will be asked to sign a form giving your consent and be offered a copy for your records.
There will be a further opportunity to ask questions when you attend for your radiotherapy planning scan.
Your oncologist will decide how many treatments you will have depending on your individual circumstances.
You may not be treated by the same staff every day. Most departments have a mixture of male and female radiographers. They are all ready to help answer any questions you may have.
Specialist oncology nurses are also on hand to offer advice.
If problems arise during treatment an appointment will be made with your nurse specialist or oncologist.
You may have a photograph of the treatment area taken to aid accurate delivery of the treatment.
You will always be asked for your permission before any photographs are taken.
It’s important to tell your oncologist about any vitamin and mineral supplements that are bought over the counter. There is some uncertainty about how safe it is to take vitamins, particularly high-dose antioxidants (including vitamins A, C and E, Co-enzyme Q10 and selenium) during radiotherapy, so these are best avoided.
Short term side effects are common, occur during or shortly after treatment, and are temporary (because the normal tissues heal after radiation exposure).
Tiredness and skin redness are the commonest effects. These are usually short-lived.
Long term (‘late’) side effects are rare but can appear months or years after treatment. For most patients they are not usually severe.
The type of side effects experienced depends on the area of the body being treated.
Use lukewarm water when washing, then pat dry with a soft towel.
Moisturise with a simple unfragranced moisturiser or aloe vera gel (instead of your regular gels and creams).
If you want to use anything else on the skin in the treatment area, discuss this with your radiographer first.
Avoid exposing the area to extremes of temperature (such as heat pads, saunas or ice packs) during treatment.
Avoid using deodorant or perfume in the treated area.
Make sure the treated skin is covered when out in the sun.
Swimming during a course of radiotherapy is not known to be harmful, though some patients find the chemicals in the water can irritate the skin.
Patients are seen in clinic by the oncologist about 4-6 weeks after the last radiotherapy session.
This provides an opportunity to make sure any side effects have settled, review any new symptoms and ask any questions you might have.