Priority 3 from the Post Mastectomy Breast Reconstruction PSP

UNCERTAINTY: What are the rates of breast cancer re-occurrence and what patients are at a higher risk of breast cancer after breast reconstruction?  (JLA PSP Priority 3)
Overall ranking 3
JLA question ID 0109/3
Explanatory note Breast cancer recurrence after complete mastectomy is very low, however not zero. Our current breast cancer guidelines suggest that routine surveillance of the chest is not necessary following mastectomy since the incidence of breast cancer recurrence is very low. However, prior research has shown that there may be a small group of patients with higher likelihood for breast cancer recurrence in which further surveillance and closer follow-up may be beneficial. Research in this area to stratify patients into groups of high, intermediate, low likelihood for breast cancer recurrence would be important. Furthermore, it would be important to determine the method and frequency of imaging for those patients in the high-risk category for recurrence depending on their previous breast reconstruction method.  
Evidence

 No articles retrieved for this question
Health Research Classification System category  Generic health relevance
Extra information provided by this PSP
Original uncertainty examples Current statistics of recurrence. 
Submitted by  1 x Patient
PSP information
PSP unique ID 0109
PSP name Post Mastectomy Breast Reconstruction
Total number of uncertainties identified by this PSP.

86  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 2 July 2019