Checking for Breast Cancer Recurrence
How Will My Prognosis Affect My Breast Cancer Treatment?
Following surgery or radiation, the breast cancer treatment team will determine the likelihood that the cancer will recur outside the breast. This team usually includes a medical oncologist, a specialist trained in using medicines to treat breast cancer. The medical oncologist, who works with the surgeon, may advise the use of hormone therapy, chemotherapy, or both. These treatments are used in addition to, but not in place of, local breast cancer treatment with surgery and/or radiation therapy.
How Would a Recurrence of Breast Cancer Be Treated?
The type of treatment for local breast cancer recurrences depends on your initial treatment. If you had a lumpectomy, local recurrence is usually treated with mastectomy. If the initial treatment was mastectomy, recurrence near the mastectomy site is treated by removing the tumor whenever possible, usually followed by radiation therapy.
In either case, hormone therapy, chemotherapy, and/or radiation therapy may be used after surgery. If breast cancer is found in the other breast, it may be a new tumor unrelated to the first breast cancer. Treatment would include a lumpectomy or mastectomy and possibly radiation and/or systemic therapy (chemotherapy and/or hormonal therapy).
Women with distant recurrence involving organs such as the bones, lungs, brain, or other organs are treated with systemic therapy. Radiation therapy or surgery may also be recommended to relieve certain symptoms.
Immunotherapy with Herceptin (trastuzumab) alone or with chemotherapy may be recommended for women whose cancer cells have high levels of the HER2 protein. Perjeta (pertuzumab), Kadcyla (ado-trastuzumab emtansine), or Tykerb (lapatinib) may be used, as well.