Since hundreds of years, various types of mastectomies being done to control the disease but failed.
Modern era started in 1890 with Halstead procedure of Radical Mastectomy, also promoted same time by Willy Meyer (1894), on theory of disease involving Axillary nodes commonly by gradual spread through lymphatics.
Many changes in procedure came to excise only pectoralis minor and axillary dissection at later stage, but over all recurrence and survival for 5 years remains same (50%) local recurrence 20% with high morbidity -arm swelling, restricted movement etc.
Radical mastectomy + RT (1930) did improved survival but high morbidity. Extended Radical Mastectomy is of removing Internal Mammary nodes with axillary nodes more so in Inner quadrant cases (Samson Handley 1920). Urban (1950) did extensional clearance of Internal Mammary chain in block with high morbidity and no survival benefit.
PATEY and Dyson (1948) preferred to save pectoralis minor and advocated muscle sparing procedure but doubted the improvement of disease free survival till some systemic treatment is given.
Madden (1972) started muscle sparing procedure with proper clearance of Axilla. Crete (1975) suggested delayed axiliary clearance with same 5 years benefit.
Simple mastectomy – developed by Kennedy and Metler (1964) – followed by RT (KAAC and JOHNSON 1969) with equal result to extended Radical or Radical and Modified Radical.