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Abstract Surgery remains the only hope of cure for early operable breast cancer. Surgical treatment involve modified radical mastectomy or Conservative breast surgery (CBS). CBS is now occupying a major segment in the treatment of breast cancer. CBS appears to offer advantage over mastectomy with regard to quality of life and aesthetic outcames. As allows for preservation of breast shape and skin as well as preservation of sensation and provides an overall psychologic advantage associated with breast conservation also with advantages of Less operative time than modified radical mastectomy,Less postoperative hospital stay and Less disfigurement with better quality of life and the possibility of salvage mastectomy if local recurrence occurs. The technique of the operation varies from one author to another. the type of incisions in the CBS depend on accessibility in obtaining a negative margin ,IBTR (Ipsilateral breast tumor recurrence) and cosmetic outcome of the different types of incisions . Regarding the surgical accessibility to removal of the tumors in the UOQ and the axillary nodes we found that using a single breast incision offers very good access to both the tumor and the axilla. CBS and axillary evacuation can be done through single incision either breast incision or transverse axillary incision with advatages of allowing good access to the primary tumor and the axilla,gives good cosmetic results in which the scar lays parallel to the Kraissl’s lines skin and preserves the vascularity and inervation of the nipple and areola. Summery and Conclusion 100 we found single curvilinear breast incision is better than single transverse axillary incision as allow good accessibility to primary tumor and allow taking more safety margins. |