Locally recurrent breast cancer occurs in 5-15 % of patients after breast conservation therapy and after mastectomy with adjuvant radiotherapy. Ipsilateral breast tumor recurrences may be salvaged with mastectomy; however, outcomes from repeat breast-conserving surgery and breast re-irradiation are promising. Chest wall recurrence generally portends a worse prognosis than in-breast local recurrences. A subset of patients may be long-term survivors in the absence of metastasis. Persistent chest wall disease can be symptomatic, and in previously irradiated patients, treatment options are limited. Experiences with chest wall re-irradiation have shown excellent response rates with acceptable late toxicity, but follow-up is limited.
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging