Abstract
Patients with breast cancer diagnoses are routinely monitored for local and distant recurrence after initial treatment. Patients are followed with history, including a detailed review of systems and physical examination. Diagnostic imaging studies are selected depending on the type of prior surgical treatment and patient’s symptoms. If a local-regional recurrence is suspected, this is confirmed with a biopsy, and tumor markers including ER, PR, and HER-2 are repeated. Next, it is important to investigate the presence of a distant metastasis. Once the distant disease is ruled out, local-regional recurrence is managed with a combination of surgery, systemic therapies, and radiation depending on the patient characteristics. For this reason, patients with recurrent breast cancer should be managed in a multidisciplinary fashion including surgery, medical oncology, and radiation oncology, with plastic surgery and genetics as necessary for the best outcome.
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Bostanci, Z., Kruper, L. (2019). Recurrent Breast Cancer. In: Docimo Jr., S., Pauli, E. (eds) Clinical Algorithms in General Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-98497-1_24
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DOI: https://doi.org/10.1007/978-3-319-98497-1_24
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