Recurrent ductal carcinoma in situ after total mastectomy

Abstract

A case report is presented of a woman with recurrent DCIS occurring several years following a total mastectomy, the diagnosis of which was aided by a subpectoral saline implant. A discussion of factors associated with recurrence and a review of the literature is provided. A role for selective use of mammography in screening postmastectomy reconstructed breasts in patients at high risk for recurrence is suggested. J. Surg. Oncol. 1999;71:182–185. © 1999 Wiley‐Liss, Inc.

Is Radiation Indicated in Patients With Ductal Carcinoma In Situ and Close or Positive Mastectomy Margins?

“…Preservation of the skin envelope and the inframammary fold provides the reconstructed breast with a more natural cosmesis. The exact amount of residual tissue is related to the thickness of the skin flap, to whether the pectoralis fascia is removed, and to the amount of tissue in the tail of the breast that is surgically excised (39,40). Preservation of the inframammary fold leaves a minimal amount of residual breast tissue (40).…”

Surveillance Mammography following the Treatment of Primary Breast Cancer with Breast Reconstruction: A Systematic Review

“…42 The patient in this report underwent semiannual physical examination and surveillance mammography following her breast reconstruction. It was on surveillance mammography almost 3 years after her reconstruction that a recurrence was detected by surveillance mammography, not by physical examination.…”

“…All articles, including case reports, were considered because of the paucity of literature addressing the role of surveillance mammography in women who have undergone breast reconstruction. In total, eight articles addressed this issue, 12,31,[41][42][43][44][45][46] including two case reports, five case series, and a retrospective case series with imprecise numbers and follow-up. 31 One series was a German language article where data were abstracted from the English abstract.…”

“…Only one article described the mammography regimen, which consisted of semiannual mammograms. 42 Only two studies reported local recurrences detected by surveillance mammography or by other means. 43,46 Helvie et al found that two of the three cases of local recurrence in their series of women with transverse rectus abdominis myocutaneous (TRAM) flap breast reconstruction were detected by surveillance mammography, whereas the third was a palpable breast nodule.…”

Diagnosis and management of ductal carcinoma in situ

“…It could be further postulated that mastectomy is the safest treatment for patients with DCIS because of the exceptionally low rate of LR. Although low, this risk is existent, indicating that rare forms of DCIS possess a biologically more aggressive nature [36,37]. At least two retrospective series have confirmed the progressively decreasing risk of LR associated with lumpectomy alone versus lumpectomy and breast irradiation versus mastectomy as treatment for DCIS [22,23].…”