Evidence map›Paper›PMID 42290798›Full record

ArticleClinical case reports2026

Clinically Silent Local Recurrence of Breast Cancer Detected in a Mastectomy Scar During DIEP Flap Reconstruction: A Case Report.

David Tesina, Tomas Herma, Jiri Bayer, Radoslav Matej, Andrej Sukop, Pavla Ticha

Abstract read
In one paragraph

Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

David TesinaDepartment of Plastic Surgery, Kralovske Vinohrady University Hospital and Third Faculty of Medicine Charles University Praha Czech Republic.
Tomas HermaDepartment of Plastic Surgery, Kralovske Vinohrady University Hospital and Third Faculty of Medicine Charles University Praha Czech Republic.
Jiri BayerDepartment of Plastic Surgery, Kralovske Vinohrady University Hospital and Third Faculty of Medicine Charles University Praha Czech Republic.
Radoslav MatejDepartment of Pathology, Kralovske Vinohrady University Hospital and Third Faculty of Medicine Charles University Praha Czech Republic.
Andrej SukopDepartment of Plastic Surgery, Kralovske Vinohrady University Hospital and Third Faculty of Medicine Charles University Praha Czech Republic.
Pavla TichaDepartment of Plastic Surgery, Kralovske Vinohrady University Hospital and Third Faculty of Medicine Charles University Praha Czech Republic.ORCID https://orcid.org/0000-0002-1959-8618

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This case report presents a rare event of clinically silent local breast cancer recurrence detected during delayed breast reconstruction with a DIEP flap in a patient considered to be in complete remission. The recurrence was not detected by preoperative imaging or serum tumor markers but was unexpectedly identified in the excised mastectomy scar during histopathological examination. This case underscores the diagnostic importance of routine histopathological examination of mastectomy scars in patients assessed to be in complete remission and undergoing secondary procedures such as autologous breast reconstruction. This is the first reported case of breast cancer recurrence detected in a mastectomy scar excised during DIEP flap reconstruction, which subsequently required flap elevation and oncologic re-resection. Furthermore, unlike in other published cases, the technically challenging re-resection was performed only 23 days after the initial reconstructive surgery.

Indexed as

breast cancerbreast reconstructionDIEP flaphistopathological examinationlocal cancer recurrencemastectomy scar

Identifiers

PMID42290798
PMCPMC13254232

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.