BREAST-PRESERVING THERAPY AND BREAST RECO NSTRUCTION AFTER CARCINOMA

Conservative therapy of invasive breast cancer by tumorectomy or quadr antectomy followed by radiation of the remaining breast tissue is very common since 15 years. However, more than 10% local recurrences will occur within a 10-year follow-up. Skin-preserving or extended subcutan eous mastectomy, i. e. total removal of the mammary gland, is an alter native to breast-conserving surgery and radiotherapy. In primary breas t reconstruction silicone implants, permanent expander prostheses or a utogenous tissue are used. The incidence of 4.7% local recurrences aft er a 10-year follow-up supports the extended subcutaneous mastectomy w ith primary reconstruction as an adequate therapy for breast cancer.