[The plastic surgery concept as an important prerequisite in operative treatment of breast carcinoma]

Between 1992 and 1997, 424 female patients were treated for primary breast cancer at the Department of Surgery of the Carl-Thiem-Klinikum in Cottbus. The percentage of breast conserving surgical methods hat increased from 10% (1992)-30% (1997). The rate of local recurrence after breast conserving surgery was 8% in 1997. We found a ratio of breast cancer surgery to diagnostic biopsies of 1:1, 1 in 1992 and of 1:2,1 in 1997. After the introduction of reconstructive breast surgery in 1997 we carried out 3 immediate reconstructions with endoprosthesis and 7 cases with myocutaneous flapping. Our own concept of plastic surgery as well as indications for breast conserving therapy will be demonstrated and discussed.