This is the case of a patient with metastatic disease diagnosed 40 yea
rs after a radical mastectomy which was followed by radiation treatmen
t for breast cancer. The patient had nonspecific symptoms for 3 years,
and a lymph node biopsy revealed the underlying cause to be recurrent
breast cancer. Excision of the largest metastases combined with chemo
therapy resulted in a further 3-year remission.