Breast reconstruction with a latissimus dorsi flap in a patient who had had her axillary lymph nodes irradiated in childhood

We describe a 34-year-old woman who, at the age of 11 years, had had Hodgkin disease treated by irradiation of the axillary nodes. Twenty-two years later she developed a secondary breast carcinoma which was managed by skin-sparing mastectomy and immediate reconstruction with a pedicled latissimus dorsi flap.