Second local recurrence with no metastasis (yet?)

I am looking for anyone who has been diagnosed with a second local recurrence of breast cancer and the treatment/outcome you experienced. Did it metastasisze? To date have not found a woman with a case similar to mine. I would love to hear your story!

In 2000 (at 36) I was diagnosed with invasive ductal carcinoma, grade 2, ER+ with no positive lymph nodes. I had a total mastectomy and CMF chemotherapy followed by 5 years of Tamoxifen. The cancer recurred locally in 2006, same pathology, no lymph nodes and clear PET scan. I had the tumor removed followed by ACT chemotherapy and radiation.

I was recently diagnosed with a second local recurrence with the same pathology, no lymph nodes and clear PET scan. I moved my treatment to the Mayo Clinic this time and am currently recovering from a "completion" mastectomy that removed the large tumor, most of my left pectoral muscle and remaining breast tissue (left the surgeon of the original mastectomy 15 years ago). My new surgical oncologist was able to excise it all with clear margins.

I will be starting radiation and hormone therapy for the second time because I've been told that second recurrences have high probability of metastasis even if mine isn't apparent on my PET scan yet. If someone has or knows of someone's case similar to mine, I could really use your help!

 

Dx 2000, IDC, Grade 2, 0 nodes, ER+/PR-, HER2-

Surgery 2000, Mastectomy: Left; Lymph node removal: Left, Underarm/Axillary

Chemotherapy 2001, 12 cycles CMF (Cytoxan, Methotrexate, 5-Fluorouracil)

Hormonal Therapy 2001-05 Tamoxifen

Dx 2006, local recurrence, IDC, Grade 2, 0 nodes, ER+/PR-, HER2-

Surgery 2006, lumpectomy: Left

Chemotherapy 2006-07, 8 cycles ACT (4 each Adriamycin/Cytoxan, Taxol)

Radiation Therapy 2007

Dx 2015, second local recurrence, IDC, Grade 2, 0 nodes, ER+/PR-, HER2-

Surgery "Completion mastectomy" including pectoral muscle: Left

Radiation 2016 (planned for January)

Hormonal therapy, 2016 (10 years, drug to be determined)