Stability of Cosmetic Outcome Over 5 Years in Select Breast Cancers Treated by Interstitial Brachytherapy

component, which downgraded the cosmesis from Grade II to Grade III following radiotherapy retreatment which was better reflected in the Modification score (AGHM 2-3). Conclusions: Repeat lumpectomy and balloon brachytherapy reirradiation in the treatment of the previously irradiated breast is feasible and yields acceptable cosmesis. The Allegheny General Modification of the Harvard/ NSABP cosmesis scale is a better and more accurate representation of the effects of retreatment irradiation.