Abstract
In this era of surgical treatment of cancer it is not necessary to reemphasize the importance of early recognition of the disease. This applies not only to the initial diagnosis but to the postoperative follow-up visits, when the patient is carefully examined for evidence of a recurring lesion. The following 6 cases of surgically treated cancer of the breast point out a helpful clinical observation to aid in the early recognition of recurrence. When hoarseness occurs following mastectomy for carcinoma of the breast the possibility of metastasis must be considered. In each of the cases presented in this group there was a period following mastectomy during which the patient enjoyed complete symptomatic freedom from disease. This period varied from fourteen months to twelve years. The patient's well-being was then suddenly interrupted by changes in the voice, described as persistent hoarseness or huskiness. There were also intermittent weakness of the voice,
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