[Surgery in recurrences of breast carcinoma (author's transl)]

Local recurrences of a tumor generally indicate a poor prognosis, because they are often associated with metastasis. The guidelines for treatment suggested by the author are: radiotherapy should be used first, and surgery as a rule only when radiotherapy has been exhausted or it is not possible. If radiation ulcers occur, extensive palliative resection of the chest wall should be performed. The resulting defect should be covered by means of sliding flaps or Kiricuta sieve grafts rather than direct transfer flaps.