1. Breast Conservation Therapy IRCH-AIIMS Experience Dr. Manish Varma, Dr. SVS Deo, Dr.NK Shukla, Dr. Vinod Raina*, Dr.GK Rath** Dept. of Surgical , Medical* and Radiation oncology**, IRCH, AIIMS, New Delhi

2. Evolution of Surgery for BC Ultra Radical Early 19 th Century Conservation, Reconstruction 20 th century Radical Late 19 th Century

8. Randomized Trials - BCT vs MRM Group No 10 Yr Survival (%) Loc. Rec(% ) BCT - MRM BCT - MRM NSABP 2105 62 - 62 10 - 8 French 179 78 - 79 7 - 9 Milan 701 71 - 69 4 - 2 EORTC 903 75 - 75 13 - 9 Danish 905 79 - 82 3 - 4 NCI 237 77 - 75 17 - 9

10. NCI Consensus Conference - EBC In early breast cancer breast conservation treatment is not only equivalent to mastectomy but also preferable as it preserves the breast with all the attendant psychological and breast image advantages there by enhancing quality of life.

19. Breast Conservation Therapy Tumor Bed Boost

20. Breast Conservation Therapy Tumor Bed Boost

25. Oncoplastic Techniques for BCS : Volume Displacement

27. Mini Latissimus Dorsi flap (MLDF)

28. Mini Latissimus Dorsi flap (MLDF)

30. BCT- Recent Advances MRI in BCT

31. BCT- Recent Advances MRI in BCT

35. Mammo guided wire localization and lumpectomy

51. IRCH –AIIMS Experience 50% 14.7% 20.5% 6.3% 6.8% Site

54. IRCH –AIIMS Experience 5 yr DFS – 76%

55. IRCH –AIIMS Experience 5 yr OS – 92%