In this guest column, UTMB’s Dr. Colleen Silva writes how breast cancer treatment has changed over the past 25 years: When I entered the field of breast surgery in the late 1980s, modified radical mastectomy was still the standard treatment. We removed the entire breast, all the lymph nodes under the arm, the nipple and much of the breast skin. Breast reconstruction was rare. Today, however, we offer breast-conserving surgery to two out of three women with early-stage breast cancer. The column also appears in the Galveston County Daily News.