SD-IORT Case Studies


Ann Hudgell
Early stage breast cancer patient


I am 74 years old and live in Virginia Water in Surrey. I had surgery and single dose intraoperative radiotherapy for early stage breast cancer two years ago.  In 2014, I visited my doctor because I had found a two lumps, one in each of my breasts. My consultant, Mr Fazel took a biopsy and a week later confirmed that I had stage one breast cancer in both breasts. 

A week later, I went back to meet Mr Fazel at the Bishop’s Wood Hospital. He said he would need to surgically remove both tumours in my breasts and that I would need to have radiotherapy. Mr Fazel informed me of a new treatment option called Single-Dose Intraoperative Radiotherapy. This treatment option appealed to me because I liked the idea of having the treatment process completed all at one time, without the need for follow-up visits to the hospital. I also liked that the intraoperative radiotherapy dose was targeted directly to the tumour location. 

Within a few weeks of my initial diagnosis, I underwent the operation and intraoperative radiotherapy. The operation was successful and I was back at home just a few days after my operation. 

After the operation, I had no specific symptoms or side-effects from having the intraoperative radiotherapy itself. Within four weeks of having the operation, I was back to work and living life almost normally again. I felt like myself again soon after receiving treatment. It’s now been two years since I had my tumours removed and there is still no sign of the cancer returning. I would recommend this treatment to any eligible patients as it was convenient and very precise.


Sylvia Burd
Early stage breast cancer patient


I am 75 years old and live close to Staines in Surrey. I have recently had surgery and single dose intraoperative radiotherapy for early stage breast cancer.  There is history of breast and ovarian cancer in my family; one of my sisters had breast cancer and the other breast and ovarian cancer. This puts me at an increased risk of getting cancer so I have a breast screening every year. 

In December 2015, I went for my annual mammogram at the Thames Valley Spire Hospital. I was told that they had found early stage 2 breast cancer. My doctors recommended an operation to remove the tumour followed by a course of radiotherapy. Mr Fazel suggested a new type of radiotherapy called single dose intraoperative radiotherapy. The idea of having one dose of radiotherapy while I was under anaesthetic sounded a lot more appealing than having to travel back and forth to the hospital for several weeks. Also because I have a pacemaker, the doctors were concerned that I wouldn’t be suitable for conventional external beam radiotherapy treatment.

Exactly two weeks after my initial diagnosis I had my operation. When I woke-up, I was told the procedure had been successful. I was happy that I could begin focusing on my recovery straightaway. I was in hospital for a total of three days before I was allowed to return home. 

When I compare my radiotherapy to the daily radiotherapy my sisters received previously, I feel very fortunate. The single dose option was quick and convenient. I would have found travelling to the hospital for radiotherapy every day very debilitating and tiring. Also, it would have been a burden on my husband as he would have had to drive me there each day. I am still taking things easy and I am slowly recovering from the surgery. 

After treatment, I had very minimal symptoms, I was a little sore but that is to be expected. I was surprised about how well I felt and I am pleased with the outcome of the operation. I’m looking forward to getting back to normal soon.