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Case Reports in Oncological Medicine
Volume 2011, Article ID 107370, 3 pages
http://dx.doi.org/10.1155/2011/107370
Case Report

Local Recurrence of Breast Cancer 52 Years after Halsted Mastectomy: Is There a Role for More Aggressive Ipsilateral Surveillance?

1Pritzker School of Medicine, University of Chicago, Chicago, IL, USA
2Division of General Surgery, University of Utah, Salt Lake City, UT, USA
3Division of Plastic and Reconstructive Surgery, University of Utah, 30 North 1900 East 3B400, Salt Lake City, UT 84132, USA

Received 12 July 2011; Accepted 29 August 2011

Academic Editors: S.-H. Lee and K. Yamashita

Copyright © 2011 Shailesh Agarwal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present the longest reported case of breast cancer recurrence, 52 years after initial diagnosis, in a patient initially treated with Halsted mastectomy. Observation and palpation of the chest wall resulted in late presentation, and this patient went on to demonstrate metastatic disease. Current surveillance guidelines lack specific recommendations regarding monitoring of the ipsilateral chest wall. In addition, the growing utilization of breast reconstruction poses an additional challenge to surveillance strategies of the ipsilateral breast. However, the emergence of MRI may present a new opportunity to identify ipsilateral recurrence. The changing landscape of breast cancer therapy warrants guidance from groups of national import such as ASCO, in the surveillance of breast cancer patients.