A 90-year-old woman who underwent a left modified radical mastectomy 40 years ago with no further adjuvant treatment presented with a left chest wall mass at the suture line. A biopsy of the mass confirmed that it was invasive ductal carcinoma of the breast. After a negative metastatic work-up, the patient underwent a local resection of the chest wall mass with clear margins. We present here the longest documented delayed recurrence after modified radical mastectomy reported in the literature.
Get full access to this article
View all access options for this article.
References
1.
MortonJJ, MortonJH. Cancer as a chronic disease. Ann Surg137:683–703.
2.
FraserD, GaldabiniJ, DickW. Delayed recurrence of breast carcinoma. Am J Surg1972:123:598–600.
3.
VeronesiU, CascinelliN, MarianiL, . Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer. N Engl J Med2002;347:1227–32.
4.
FisherB, AndersonS, BryantJ, . Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. N Engl J Med2002;347:1233–41.
5.
WillnerJ, KiricutaI, KolblO. Locoregional recurrence of breast cancer following mastectomy: Always a fatal event? Results of univariate and multivariate analysis. Int J Radiat Oncol Biol Phys1997;37:853–63.
