How is a local recurrence of breast cancer treated?

Updated: Apr 23, 2020
  • Author: Joseph A Sparano, MD; Chief Editor: John V Kiluk, MD, FACS  more...
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Answer

Answer

Recommended therapy depends on the initial treatment given, as follows [1] :

  • Patients whose initial treatment was lumpectomy and radiation therapy (RT) should undergo total mastectomy with axillary lymph node staging if level I/II axillary dissection was not previously done

  • Patients whose initial treatment was mastectomy plus level I/II axillary dissection and RT should undergo surgical resection if possible

  • Patients whose initial treatment was mastectomy with no prior RT should undergo surgical resection if possible, along with RT if possible to the chest wall and supraclavicular and infraclavicular nodes


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