[Breast-conserving treatment of breast cancer after augmentation with injected hydrophilic polyacrylamide gel and review of the literature].

We report on a 33-year-old female patient with invasive ductal breast cancer. Despite breast augmentation with injected hydrophilic polyacrylamide gel in her history, she was successfully treated with breast-conserving therapy. The widespread migration of the gel conglomerates first complicated diagnostic imaging, surgical treatment and tumour aftercare. Removing the gel proved a difficult task. Nevertheless, the gel was macroscopically totally removed allowing a breast-conserving therapy. Wound healing took place without complications. After adjuvant chemotherapy, radiotherapy and hormonal therapy, the patient stays tumour free with a satisfactory cosmetic result.