Breast conserving surgery: current indications, technique and outcome

Postulating that breast cancer was a primary local disease with consecutive local spread biologically modified radical mastectomy with axillary dissection was the standard for all invasive and pre-invasive breast cancers until the early eighties of the past century. Several major prospective studies showed in the past 3 decades that tumorectomy alone with postoperative radiotherapy of the breast produced the same cure rates. Breast conserving surgery is allowed when surgical outcome provides good cosmetic results. The operative technique was repeatedly modified. Special surgical skills und experience in oncoplas…