I have a similar experience. I found two new tumours after 19 years in April this year. Things have changed a lot in those years, but unfortunately if you have had breast conservation I had and get a recurrence in the same breast as I did, and have had radiotherapy once, the advice I got is that there is no other option but to have a mastectomy. You can’t have radiotherapy more than once as it’s dangerous to have more than a certain dose and you have already had that.
Although I really did not want a mastectomy I was offered reconstruction at the same time as the operation to remove my breast. This is a major operation of 4 to 6 hours length. Luckily I am in good health, don’t smoke, am quite thin and I am only (ha ha) aged 67. The first time I had cancer I was a mere 47.
I was told by the general hospital that diagnosed me in June 2022 that my recurrence was the same kind I had before but apparently this is wrong.
The head cancer surgeon at my new hospital told me on Monday I have an entirely different second primary cancer which is ductal of no special type, grade 2, more aggressive than my first tumour. Luckily it doesn’t appear to have spread yet, judging from how my lymph nodes look under an ultrasound probe.
I have a sense of guilt that I could have found it earlier if I had continued to be worried about new tumours. I got the feeling I had not acted early enough because I did not want to know I could get cancer again. I had moved on from thinking of my self as a cancer patient. I decided not to have any follow up after 2004 because I couldn’t see how it would help me. Instead I would refer myself if I had any symptoms.
I was really worried for the first two years after diagnosis, because I thought it would spread to my bones, liver, lungs or brain but this didn’t happen so over the years I forgot about it. I never considered I could get a new bout of breast cancer.
This was a mistake as I have 2 new primary tumours in the left breast, where I had already had radiotherapy and surgery. I am sorry you have got a new cancer as well, but unfortunately we are in the same position and it’s sad. I am taking part in a long term research project called Generations which I joined in 2006 and I will be updating them with the news. I think research is the way to find out why these cancers do sometimes come back.
There must have been cells in the area of my breast which was irradiated that continued to be unstable and eventually grew into a tumour. It did take a long time to do this, so perhaps the radiotherapy gave me 19 years cancer free. I have no idea if this is the case, but maybe it did.