الفهرس | Only 14 pages are availabe for public view |
Abstract Breast malignancy is the most popular malignancy among Egypt’s female population and has approximately 38.8% total malignant diseases among Egypt’s female population. Halsted set radical mastectomy as the primary treatment option for breast cancer at the beginning of the 20th century and this view continued for 70 years. The modified form of radical mastectomy was implemented in1948 by Patey and Dyson, which decreased the number of skin resections and retained the pectoral major muscle, thereby decreasing the aesthetic effect of the operation without reducing the survival rate. Mastectomy is considered a dramatic psychological phase in the treatment of breast cancer which adversely affects patients’ self-esteem and image due to the importance of their breasts as representations of femininity and maternity. This led the quest for alternative means and gradually undermined the supremacy of the principles of Halsted by advances in radiotherapy, hormone therapy, chemotherapy and anatomical studies, which allow more exact examinations of the surgical margins and more recently of sentinel lymph nodes. Conservation of breast malignancy has been widely used throughout the world since the 1980s. This shift was based on comprehensive randomized trials demonstrating life expectancies not linked to radical or conservative form of surgery. In females with early stage unifocal breast malignancy, breast conserving surgical procedure followed by radiation therapy |