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How would you approach a patient with a 12 mm recurrence of the left implant-based reconstruction breast 17 years after her initial diagnosis?  

How would you approach a patient with a 12 mm IDC of the left implant-based reconstruction breast 17 years after her initial diagnosis?

The tumor was grade 2, ER/PR+, 0/3 nodes, and negative margins after a local excision, and no evidence of regional or distant mets