title: Metastatic breast disease 40 years after the initial diagnosis.
abstract: This is the case of a patient with metastatic disease diagnosed 40 years after a radical mastectomy which was followed by radiation treatment for breast cancer. The patient had nonspecific symptoms for 3 years, and a lymph node biopsy revealed the underlying cause to be recurrent breast cancer. Excision of the largest metastases combined with chemotherapy resulted in a further 3-year remission.
authors.affiliation: Department of Surgery, Baylor College of Medicine, Houston, USA.
authors.forename: E
authors.initials: E
authors.lastname: Pikoulis
authors.forename: P N
authors.initials: PN
authors.lastname: Varelas
authors.forename: J
authors.initials: J
authors.lastname: Lechago
authors.forename: C
authors.initials: C
authors.lastname: Papaconstantinou
authors.forename: P J
authors.initials: PJ
authors.lastname: Asimacopoulos
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000556:secondary* / Q000628:therapy; D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001943:Breast Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000187:drug effects / Q000473:pathology* / Q000601:surgery; D008207:Lymphatic Metastasis; D015409:Mastectomy, Radical; D009364:Neoplasm Recurrence, Local