The primary focus of this study is to evaluate the oncological outcome after mastectomy with or without reconstruction and to study if there is an association in local recurrence between mastectomy without reconstruction and mastectomy with reconstruction. A retrospective review of the medical records of 2,800 was evaluated between 1993- 2003. Patients who underwent mastectomy with and without reconstruction were analyzed by means of local recurrences. Of the 2,800 cases, 831 choose to have mastectomy for surgical treatment. There were 95 (11%) patients that choose reconstruction. In all, 33 (4%) local recurrences were observed. Of the 33 cases, 4.0% (30) were mastectomy only while 3.1% (3) were mastectomy with reconstruction. A statistical analysis showed no difference between the groups (p>0.05). Our study hopes to add to the current data that reconstruction is a safe procedure after mastectomy. Our data support the continued use of breast reconstruction without fear of influencing the oncologic outcome regarding local recurrences.

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