Recurrent breast cancer

Dr Henry Knipe 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.

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

Risk factors

Recognised risk factors include:

Mammography

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

Breast MRI

MRI offers an advantage over conventional methods in assessing recurrence.  This can be seen in evaluating of tumour 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.

Breast imaging and pathology
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Article information

rID: 14888
System: Breast
Section: Pathology
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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    Case 1: on breast MRI
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    Case 2
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