[Conservative surgical treatment of early carcinoma of the breast].

The natural history of breast cancer related with cellular cytodinamics, hematogenous and lymphatic spreading and host defence is presented. It is underlined that surgical methods did not improve survival rates specially for radical procedures. Conservative managements (tumorectomy, wedge resection, subcutaneous mastectomy) for stages T1 No M0 are evaluated. Diagnostic methods for stage I neoplasms are reported especially for infraclinic stages. Surgical techniques are reviewed in detail for the treatment of primitive neoplasms and lymphonodes. After a full examination of controlled clinical series indications for conservative treatment are defined as related to diagnosis and management in special regard for female psychic melieu.