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Local Recurrence


Re: Local Recurrence

Hello Claire


Thanks for posting.


It sounds like you have had a difficult time lately with a new breast cancer diagnosis.


Secondary breast cancer occurs when breast cancer cells spread from the primary (first) cancer in the breast to other parts of the body. The most common areas breast cancer spreads to are the bones, lungs, liver or brain. This spread would normally be seen on CT scans or bone scans. Secondary breast cancer can be treated, but it can’t be cured.


A second primary diagnosis refers to a new cancer. It’s not the same as a recurrence, when the original breast cancer has returned. A second primary diagnosis may be different from your first breast cancer. For example, your first breast cancer may have been oestrogen receptor positive but your new primary breast cancer could be oestrogen receptor negative as you describe yours. This can be successfully treated.


Nearly everyone who has been treated for breast cancer has worries about whether the cancer really has gone away or the possibility of it coming back. The best people to speak about your treatment plan are your specialist team. They will have all the information about your individual situation.  If you are still concerned you may want to seek a second opinion.


Do call our free, confidential Helpline if you would like to talk this through or have any further questions. The number is 0808 800 6000.


Our opening hours are Monday to Friday 9am - 4pm and 9am -1pm on Saturday. Out of hours you can leave a message and we will call you back when we next open. 


We are currently reviewing our Forum service and wonder if you would have five to 10 minutes to complete a short survey. The survey will help us gather information about this service and understand more about any improvements we can make.


Best wishes




Breast Cancer Care Nurse


Please read the Ask Our Nurses disclaimer. This thread will now be closed from further replies. If you have any additional questions or would like to provide feedback, please start a new thread.


Local Recurrence


I was diagnosed with high grade DCIS and and an invasive tumour in 2013, it was only small, 4mm and 35mm of DCIS so I had wide local excision & 2 nodes removed which were clear. My cancer was stage 1, grade 3 ER+, PR+ & HER2+. I had to fight to get chemo & herceptin as my hospital said I didn’t need it, but on referral to the Marsden I got a completely different treatment plan with 4 lots of paclitaxel, herceptin for 12 months & tamoxifen. I have now been diagnosed with grade 2 (my hospital graded my previous cancer as 2 but the Marsden changed that to 3 on carrying out their pathology) invasive ductal with attached DCIS, but this time it’s hormone negative but still HER2 positive & I will be having my mastectomy on 2nd May. They have mentioned that it’s likely I won’t have chemo, depending on whether my nodes are affected, however I am scared that after all the treatment I had last time it still came back, so why wouldn’t I be offered chemo & herceptin again this time as I can’t take any hormone treatment.  I am also confused as to whether this is classed as secondary cancer and whether its curable. Apologies for the huge essay! I hope you can advise.