Thank you for the replies ladies.
@Naz: Although technically no breast tissue left, recurrences do seem to occur in ladies who have had mastectomies, node clearance and reconstructions. In some instances there must enough tissue/skin left in which cancer cells proliferate. The person I know who this happened to had a recurrence underneath the top edge of the implant
@MissGreen - interesting to know your symptoms, thanks.
I'm interested in people's views about this.
I had a left mastectomy 4+ years ago and haven't had a reconstruction yet. I will probably have to make a decision about a prophylactic right mastectomy sometime soon. I'm not sure I can bear the thought of being completely flat-chested so would probably opt for a double reconstruction.
My question is - how does one detect a new primary/recurrence which could occur under a reconstruction? Mammograms would no longer be done presumably and I can't see anyone agreeing to do a CT or PET scan regularly (on the NHS). It scares me because I know new primaries/recurrences can occur in/beneath/around reconstructions and I personally know of someone who now has secondaries and her recurrence (which metastacised) occurred under the reconstruction.
Any thoughts welcome.