NCCN Guidelines for Patients® | Stages I and II Breast Cancer - page 74

NCCN Guidelines for Patients
®
Stages I and II Breast Cancer, Version 1.2014
72
8
Treatment for recurrence Treatment for local recurrence
Treatment for local recurrence
Treatment for a local recurrence depends on your
prior treatment. If you had breast-conserving therapy,
a total mastectomy is recommended. You may
also have an axillary lymph node dissection if not
done before. If previously treated with mastectomy
alone, you may have surgery to remove the cancer
followed by radiation therapy to the chest wall and
lymph nodes around the collarbone. If you had
a mastectomy and radiation therapy, the cancer
should be removed by surgery if possible. For all
recurrences, adjuvant treatment with chemotherapy,
chemotherapy with trastuzumab, or hormone therapy
may be given.
Local recurrence
Prior treatment
Treatment for recurrence
Breast-conserving therapy
Total mastectomy + axillary dissection. Consider adjuvant treatment.
Mastectomy alone
Surgery if possible and radiation therapy to the chest wall and
around the collarbone. Consider adjuvant treatment.
Mastectomy + radiation therapy
Surgery if possible. Consider adjuvant treatment.
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