Radiation for breast cancer with Ehlers Danlos (Hypermobile/ Type 3)

Posted by susie757 @susie757, May 11 7:31pm

Does anyone know about effectively treating radiation fibrosis in Ehlers Danlos patients? I am already 13 weeks post mastectomy with significant scar tissue and cording. I have been doing physical therapy for months now with a PT who specializes in breast cancer/lymphedema (so, stretching, laser, massage, etc). Radiation is recommended for me due to a 1mm micrometastases in one lymph node. (My breast cancer is IDC, grade 1, 43mm, hormone positive, HER2 neg, oncotype score 11, post-menopausal). There is currently a study being done to figure out if radiation is even necessary in my case. I am seriously considering skipping radiation because I'm concerned radiation will cause more damage on top of my current tightness/scarring/ cording and that it may pull on my joints, leaving me with more chronic pain. Or damage my skin/ scar line... I already have broken veins on my chest, in addition to the tightness from the cording.
Has anyone successfully recovered from radiation in a case like mine? I want to know there's treatment before I gamble on this risk of permanent pain. Radiation would also increase my risk for lymphedema...
I was diagnosed with EDS after a simple foot injury failed to heal properly, so I know my body has trouble healing from injury. But I don't know if my oncologists fully appreciate this. I wish I had an EDS specialist on my team!

Interested in more discussions like this? Go to the Breast Cancer Support Group.

@susie757, welcome. I'm tagging a few members of the Breast Cancer group who also have Ehlers Danlos syndrome (EDS), like @cdammen @colely @krisrwalters and @leculdesac. They may have some first hand experience to share about breast cancer treatments and EDS.

Can your doctor, who helps you with management of EDS, communicate with your cancer team?

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I do not have a doctor who helps me with EDS. I was diagnosed in the Twin Cities and the doctor left that practice a month later. I am on a year-long wait list to be seen at Mayo. I am getting the EDS genetics tests because I have neurological and autonomic problems being worked up at Mayo. I have not even thought about the intersection of EDS and cancer. In fact, cancer has been almost a secondary priority for me given everything else that is happening.

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Profile picture for Colleen Young, Connect Director @colleenyoung

@susie757, welcome. I'm tagging a few members of the Breast Cancer group who also have Ehlers Danlos syndrome (EDS), like @cdammen @colely @krisrwalters and @leculdesac. They may have some first hand experience to share about breast cancer treatments and EDS.

Can your doctor, who helps you with management of EDS, communicate with your cancer team?

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@colleenyoung I currently don't have a doctor who could do this for me; I've been managing symptoms with what I learned when I was diagnosed years ago.

Thanks for tagging people. I'd love to hear positive experiences and any tips people might have as I begin radiation tomorrow morning!

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Profile picture for susie757 @susie757

@colleenyoung I currently don't have a doctor who could do this for me; I've been managing symptoms with what I learned when I was diagnosed years ago.

Thanks for tagging people. I'd love to hear positive experiences and any tips people might have as I begin radiation tomorrow morning!

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@susie757 and @cdammen, if you're not already, you may wish to follow the EDS blog by Mayo Clinic experts:
- Ehlers-Danlos Syndrome Blog https://connect.mayoclinic.org/blog/ehlers-danlos-syndrome/tab/newsfeed/

The Ehlers-Danlos Society provides a service to help find EDS specialists See the “Healthcare Professionals Directory” here: https://www.ehlers-danlos.com/healthcare-professionals-directory/

Mayo Clinic's EDS clinic is listed there, along with many others across the US listed by state. Providers from other countries from around the world are also included.

Mayo Clinic accepts EDS patients at all 3 campus locations in AZ, FL and MN. People can self-refer for concerns related to EDS and/or hypermobility. A physician referral is not required. Geneticists are also available at all locations although appointments may be limited for a genetics consult in AZ and MN at this time.

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You can get information at marfan.org/ask. EDS is a closely related syndrome, so it is an included syndrome. If your radiation is on your left breast there certainly is reason for concern. Radiation affects the heart valves and hEDS causes heart valve regurgitation. I didn't know that I had the condition of tricuspid valve regurgitation until I had an ultrasound to check for heart-related hEDS problems. So radiation could further damage your heart valves. My advice to anyone that will undergo chemotherapy or radiation therapy is to Google their particular health problems and radiation therapy or chemotherapy and see if there might be complications. My oncologist did not seem concerned when I HAD to bring it up to her. She said that she would deal with each health problem as it occurred.

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