Breast Cancer Recurrence: What to Expect If Breast Cancer Comes Back

Understanding Recurrent Breast Cancer

Recurrent breast cancer occurs when cancer returns after the initial treatment. Although the goal of the initial treatment is to eliminate all cancer cells, some may evade detection and survive. Over time, these cells can multiply, leading to a recurrence of the disease.

Recurrence typically happens months or even years after initial treatment. If cancer returns in the same place, it is known as local recurrence. However, if it spreads to other areas of the body, it is called distant recurrence.

Signs and Symptoms of Recurrent Breast Cancer

Watch for the following symptoms that may indicate breast cancer recurrence:

• A new lump or thickening in or around your breast or underarm that does not go away
• Changes in breast contour, size, or shape
• A hard area under the skin that feels like a marble
• Alterations in the look or texture of the skin or nipple
• Discharge from the nipple, especially if bloody or clear
• Swelling or a new lump elsewhere in the body
• Persistent bone pain
• Chronic pain in a new area
• Breathing difficulties, including a persistent cough
• Ongoing headaches
• Yellowing of the eyes or skin
• Unexplained fatigue or changes in energy levels

Treatment Options for Recurrent Breast Cancer

If you experience symptoms of recurrent breast cancer, your doctor will evaluate your condition and recommend a suitable treatment plan based on your initial therapy.

Surgical Options

• Lumpectomy recurrence: If your initial treatment was a lumpectomy, your doctor may recommend a mastectomy to remove the entire breast and surrounding tissue.
• Mastectomy recurrence: If cancer returns in the chest wall after a mastectomy, the tumor may be surgically removed, followed by radiation therapy.

Additional Treatments

Regardless of whether you had a lumpectomy or mastectomy, your doctor may recommend:

• Radiation therapy to target any remaining cancer cells.
• Hormone therapy if your cancer is hormone receptor-positive.
• Chemotherapy to attack cancer cells throughout the body.
• Targeted therapy for cancers with high HER2 protein levels.
• A combination of treatments based on your unique condition.

Distant Recurrence Treatment

When breast cancer returns in a different part of the body, such as the bones, brain, liver, or lungs, treatment will be tailored to the location of the recurrence. Options may include:

• Surgery and radiation therapy to remove or shrink tumors.
• Chemotherapy and hormone therapy to manage the disease.
• Targeted therapy for specific cancer cell markers.

Managing a Breast Cancer Recurrence

Receiving a recurrent breast cancer diagnosis can be emotionally challenging. However, advancements in treatment allow many patients to manage the disease effectively and live long, fulfilling lives.

Expert Breast Cancer Care at BASS Medical Group

If you are facing a breast cancer recurrence, BASS Medical Group is here to help. Our team of top specialists provides comprehensive care, from diagnosis to treatment and ongoing support. Visit our BASS Cancer Center in Walnut Creek or connect with our breast surgeons to explore your options and develop a personalized treatment plan.