Recaídas locales posterior a tratamiento radical evaluación de infiltración del complejo areola-pezón

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.