breast reconstruction is not done at the time of the mastectomy, it is recommended that you allow a three month period for the surgery site to heal.Scar tissue forms around the implant. This may result in the breast hardening.The TRAM flap - a type of breast reconstruction that uses tissue from the stomach, may result in a loss of muscle tone in the stomach.If cancer recurs after a lumpectomy in the treated breast, the breast now has to be removed. This is often referred to as a salvage mastectomy. This must be followed by chemotherapy and hormone therapy.Rarely, a new cancer can grow in the remaining breast tissue after a mastectomy. This carries a lower risk of spreadTreatment should begin with removal of tumor and some surrounding healthy tissue. This might mean some bone and muscle. Radiation should then be given and the entire region operated on followed by chemotherapy and hormone treatment.If the cancer recurs in a distant site, or other parts of the body, then palliation is the method most often adopted by doctors. Palliation means to relieve or lessen without curing. Many doctors seek only to relieve symptoms and not cure the illness when treating distant site recurrence.There are several procedures which sometimes manage to achieve a cur, in combination or separately. They are: surgery, radiation, hormone therapy, and chemotherapyThe following are general guidelines for treating distant site recurrence-Surgery is used to remove an isolated tumor that gets in the way of functioning, if the disease has spread-If there is an isolated tumor, it can sometimes be cured by removing it-Radiation can reach hard to get at locations. It can destroy tumors in parts of the body where it is not advisable to perform surgery. It is particularly useful in relieving pain in bones where cancer has metastasized.-Hormone therapy can be used for women who have hormone positive receptors-For some patients, high dose chemotherapy followed by bone an...