Case contribution: Dr Radhiana Hassan
- A 50 years lady
- She had wide local excision for right breast carcinoma about 2 years 3 months ago
- Surveillance mammogram after one year post operation was unremarkable
- Currently complaint of right breast lump
- No other symptoms
- Both breasts are dense (BIRADS C)
- Stromal distortion in right breast in keeping with previous surgery
- No obvious mass lesion is seen
- No suspicious clustered microcalcification
- There are two hypoechoic avascular lesions in the right breast
- The lesions had irregular margins
- RtUOQ is 27 x 25 x 18mm and Rt7H measures 19 x 17 x 17mm.
Diagnosis: Recurrent breast cancer (HPE proven)
- Recurrent breast cancer refers to recurrence of malignancy within the same breast at or close to the resection bed more than two years following surgical excision.
- The rate of local recurrence may be as high as 19% in 10 years.
- The maximum recurrence occurs ~4-6 years post treatment.
- Having local recurrence doesn’t mean the cancer has spread.
- Recognized risk factors include: close or positive margins at time of resection, extensive intraductal components, inadequate adjuvant radiation therapy, multicentric or multifocal breast cancer and young age at presentation.
sharma et al. Recurrent breast cancer at https://radiopaedia.org/articles/recurrent-breast-cancer