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Recurrent breast cancer

Dr Rohit Sharma and Radswiki et al.

The term recurrent breast cancer in medical imaging is given to recurrence of malignancy within the same breast at or close to the resection bed more than two years following surgical excision.

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Article:

Epidemiology
Pathology
Radiographic features
Related articles
References

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Cases and figures

Epidemiology

The rate of local recurrence may be as high as 19% in 10 years. The maximum for recurrence occurs ~4-6 years post treatment.

Pathology

Risk factors

Recognized risk factors include:

close +/- positive margins at time of resection
extensive intraductal components (EIC)
inadequate adjuvant radiation therapy
young age at initial presentation
multicentric breast cancer
multifocal breast cancer

Radiographic features

Mammography

On mammography, the appearance of recurrent breast cancers are generally thought to be mammographically similar to the original breast tumor ².

Breast MRI

MRI offers an advantage over conventional methods in assessing recurrence. This can be seen in evaluating of tumor recurrence versus scarring where enhancement in the post-surgical scar should decrease substantially over the first 2 years. The presence of enhancement at the lumpectomy site after ~18 months since surgery is considered a concerning feature for recurrent breast cancer.

References

Breast imaging and pathology

Article information

rID: 14888

System: Breast

Tag: cases

Synonyms or Alternate Spellings:

Recurrent breast cancers
Recurrent breast carcinoma
Recurrent breast malignancy
Ipsilateral breast tumour recurrence
Ipsilateral breast tumour recurrence (IBTR)

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Cases and figures

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Case 1: on breast MRICase 1: on breast MRI

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The US showed an ...

Case 2Case 2

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