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 these
women after they were diagnosed with breast cancer.
Breast cancer survivor Erica Seymore, 34, lives in the Miami area. She never
felt any lumps in her breast. But she noticed a red, itchy mark on her left
breast, and also felt some pain that would come and go in that breast. "It
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: