WebMD senior writer Miranda Hitti interviewed breast cancer survivors as part
of a series for Breast Cancer Awareness Month. The series, called "Me & the
Girls," explores the personal stories of nine women who faced breast
Breast cancer survivor Mary Manasco, 59, lives in Jackson, Miss. In May
2008, a routine mammogram showed a suspicious spot in Manasco's right breast,
which led to another mammogram, a biopsy, and a diagnosis of
stage 1 breast cancer.
The diagnosis upset...
Breast cancer can recur or come back in three ways:
The cancer can return at the original site. This is called a local recurrence.
The cancer can recur nearby, such as in the chest. This is called a regional recurrence.
The cancer can spread to a distant location in the body, such as lymph nodes, bone marrow, or lungs. This is called a distant recurrence, or a metastasis.
Your doctor will order more tests to see if the breast cancer has spread, beginning with a physical exam and often a biopsy. The doctor is checking to see if cancer is present and, if so, if it is a recurrence of the same type of cancer or a completely new cancer (which is called a second primary cancer.)
If it is a recurrence, additional tests may include a bone scan, X-rays including CT scan, an MRI, blood tests, and PET scan.
Treatment will depend on whether the recurrence is local, regional, or distant.
Local recurrence can be treated with a mastectomy if a lumpectomy was originally performed or radiation if a mastectomy has been performed.
Regional breast recurrence is rare. Treatment may include a combination of surgery, medication, and radiation.
Treating a distant recurrence of breast cancer that has spread (called metastastic) can include: