Abstract
Background and Objective: Breast cancer surgery has seen a reverse evolution particularly over the last decade. There has been a universal acceptance of the fact that tumour biology and response to systemic treatment dictates risk of breast cancer recurrences and not surgical radicalism. The role of surgery has been “risk adapted” over the years to maintain function, contour and body image without compromising on the principles of surgical oncology. In this article we explore the first major transition from radical ablative mastectomies to breast conserving surgery (BCS) as we know it today comparing the different cancer specific and health related outcome measures for BCS and mastectomy.
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