Abstract
An unusual case of local recurrence that developed on the chest wall irradiated after mastectomy for cancer is described. A 53-year-old female was admitted to our hospital with a complaint of a mass in the anterior chest wall. She had had a right radical mastectomy followed by radiotherapy in another hospital fifteen years previously for early breast cancer. The tumor contained cystic fluid, the cytology of which showed cells strongly suspicious for epithelial malignancy, and it was diagnosed as recurrence on the chest wall. Thus, wide local resection of the chest wall was done. The patient is alive with no further recurrence three years later. Therefore, surgical intervention is considered to be appropriate to a solitary local recurrence after a long latent period.