Breast Cancer and Secondary Cancer Recurrences After Autologous Tissue Reconstruction

Clin Breast Cancer. 2021 Feb;21(1):e96-e101. doi: 10.1016/j.clbc.2020.07.015. Epub 2020 Aug 3.


Background: The medical literature defining breast cancer recurrence and secondary cancers after autologous tissue reconstruction for breast cancer is sparse. We sought to identify and analyze occurrences at our institution.

Patients and methods: A 20-year retrospective review of cancer recurrences and atypical breast neoplasms after autologous tissue breast reconstruction at Roswell Park Comprehensive Cancer Center was conducted after being granted a waiver from the institutional review board.

Results: Eighteen locoregional recurrences among 337 cases were identified and analyzed. Overall recurrence rate was 5.3%. Four secondary cancers (1.2%) were radiation-induced angiosarcoma, undifferentiated pleomorphic sarcoma, and metaplastic carcinoma. One case of flat epithelial atypia was identified.

Conclusion: Our retrospective review found incidence and survival after treatment of breast cancer concordant with reports in the literature. We also identified and analyzed secondary neoplasms, including a unique case of undifferentiated pleomorphic sarcoma and metachronous recurrence of breast carcinoma. A case of recurrence as metaplastic carcinoma was identified.

Keywords: Breast cancer screening; Flat epithelial atypia; Metaplastic carcinoma; Radiation angiosarcoma; Secondary sarcoma.

MeSH terms

  • Adult
  • Aged
  • Breast Neoplasms / pathology
  • Breast Neoplasms / surgery*
  • Female
  • Follow-Up Studies
  • Humans
  • Mammaplasty / adverse effects*
  • Middle Aged
  • Neoplasm Recurrence, Local / pathology*
  • Neoplasms, Radiation-Induced / pathology
  • Neoplasms, Second Primary / pathology*
  • Transplantation, Autologous