ABSTRACT
Breast cancer is the most common malignancy diagnosed worldwide. Breast cancer management represents an exemplary model of multidisciplinary management. The combined modality approach to treatment of breast cancer that includes primary surgery, radiation therapy, chemotherapy needs careful integration of these modalities with new methods of reconstructive breast surgery. The multidisciplinary approach has been associated with a reduction in breast cancer mortality. We present an interesting case of infiltrating ductal carcinoma, who presented as a locally advanced breast cancer in a very young patient who underwent neoadjuvant chemotherapy followed by modified radical mastectomy and primary breast reconstruction with latissimus dorsii flap. Our patient has recovered without any complications and is being prepared for adjuvant chemotherapy. All patients should undergo receptor testing which helps us in individualizing the treatment. The choice between breast conservation and mastectomy after neoadjuvant treatment is dependent on the treatment response and patient characteristics.