Overview

• The aim is to remove the bulk of the tumor surgically(with negative margins) and then use radiotherapy to eradicate any microscopic residual cancer. There is equivalence in terms of disease outcome for Breast conserving and Mastectomy, this has been shown by systematic reviews.Breast conserving Surgery(BCS) is the primary surgical choice for early breast cancer, although in Nepal it has not yet become popular.For patients undergoing BCS there is greater emphasis placed on achieving acceptable cosmesis with oncoplastic approaches. Oncoplastic Breast Surgeons are trained to undertake oncoplastic approaches to scale back the impact of local tumor excision on cosmesis often using the tissue displacement or replacement techniques.