%0 Journal Article %T Reca¨ªdas locales posterior a tratamiento radical evaluaci¨®n de infiltraci¨®n del complejo areola-pez¨®n %A Bergamo %A Laura %A Bol¨ªvar %A Efr¨¦n %A Godoy %A Al¨ª %A Carrero %A Nelly %A Betancourt %A Luis %A Romero %A Gabriel %A Salas %A Joanne %A Le¨®n %A Juan %J Revista Venezolana de Oncolog¨ªa %D 2010 %I Scientific Electronic Library Online %X objective: the experience in our institution during the period 2004-2005 in local recurrence of breast cancer. method: realized study clinical, retrospective, descriptive during 2004-2005, in patients with radical treatment, adjuvant radiation therapy and chemotherapy if exist indication. some received neoadjuvant chemotherapy. results: 167 patients underwent radical mastectomy. histological diagnostic was 80 % (128) ductal infiltrante carcinoma, 4.19 % in situ carcinoma. the more frequent localization was mammalian center 35.48 %. 3.65 % was stage i, 35.58 % stage ii 53.65 %, stage iii 6.09 % stage iv. 57 patients (34 %) with neoadjuvant chemotherapy. we realized 161 radical mastectomy madden type (94.7 %), 2 radical mastectomy patey type and 4 mastectomy total simple 2 with node sentinel. 29 (17.36 %) had infiltration to the areola nipple zone. 20 (68.96 %) were localized in center mammalian region. the average age was 53.6 years, 18 patients (62.07 %) were ubicated in stage iii (37.93 %), 72.94 % received adjuvant chemotherapy. 61.76 % received radiation therapy, 15 (51.72 %) patients were alive without disease, 1 live with local recurrence, 5 staying alive with systemic disease and 6 (20.67 %) dead by the disease. the control average was 36.14 month. 5 patients of the total (2.9 %) presented local recurrence. conclusion: the radical mastectomy is a therapeutically first arm, the local recurrence index are minor in the special centers. the infiltration of the areola nipple complex is more frequent in the center mammalian region. %K cancer %K breast %K mastectomy %K radical %K complex %K areola %K nipple %K recurrence %K local. %U http://www.scielo.org.ve/scielo.php?script=sci_abstract&pid=S0798-05822010000300009&lng=en&nrm=iso&tlng=en