title: Recurrent invasive lobular carcinoma presenting as a ruptured breast implant.
abstract: BACKGROUND
  For years, the treatment for invasive lobular carcinoma (ILC) has been mastectomy secondary to the lack of studies investigating the efficacy of breast conservation therapy on patients afflicted with ILC and due to the lack of long-term follow up investigating locoregional recurrence in this patient population. In this article we report the clinical course of a patient diagnosed with ILC.
  
  
  METHODS
  We describe the case of a 50-year-old woman with stage IIB (T2N1M0) ER/PR positive right breast ILC who underwent a right modified radical mastectomy, postoperative chemotherapy, a prophylactic left simple mastectomy with bilateral breast reconstruction and tamoxifen. Approximately 12 years later, she presented with a deflated breast implant and recurrent breast cancer with metastatic spread. She received palliative radiotherapy then palliative chemotherapy. Unfortunately, she succumbed to the cancer less than a year after being diagnosed with metastatic disease.
  
  
  CONCLUSIONS
  This may be the first case report of a ruptured breast implant presenting at the same time as the diagnosis of recurrent breast cancer.
authors.affiliation: East TN State University, Quillen College of Medicine, Johnson City, Tennessee, USA.
authors.forename: Maikel
authors.initials: M
authors.lastname: Botros
authors.forename: Kenneth
authors.initials: K
authors.lastname: Chang
authors.forename: Robert
authors.initials: R
authors.lastname: Miller
authors.forename: Sunil
authors.initials: S
authors.lastname: Krishnan
authors.forename: Matthew
authors.initials: M
authors.lastname: Iott