ESTRO Multidisciplinary Management of Breast Cancer 2017

How easy is local recurrence to detect after flap based oncoplastic surgery • Level 1 and 2 procedures just move normal parenchyma around but may cause additional scarring. Recurrence is usually easy to see on mammograms. Little published about diagnostic delay but 1 personal experience of recurrence being called scarring on mammography for 6 months or so until symptomatic biopsy. • For LD miniflaps a large series showed 21 local recurrences out of 261 cases with mean follow up of 10 years (Mele et al, 2017) and noted that lesions were found by palpation of easy to see on mammography.

• In lipomodelling cases, calcifications due to fat necrosis have a typical appearance and are not usually mistaken for recurrence.