[Local late sequelae following breast saving therapy of breast cancer: problem cases and possibilities for their...

The variety of deformities seen after local tumorectomy and postoperative radiotherapy in small breast cancers is shown. Most of the unfavorable results are due to surgical errors or improper radiotherapy, and could therefore be avoided. Late asymmetry due to soft tissue defect of fibrosis of the irradiated breast can be corrected by uni- or bilateral asymmetric reduction mammoplasty. Musculocutaneous flaps as the latissimus dorsi or the rectus abdominis can not only cover safely big defects after removal of a radionecrosis but also lead to a satisfactory cosmetic result.