title: Oncoplastic mammaplasty with geometric compensation--a technique for breast conservation.
abstract: OBJECTIVE
  To describe a technique of oncoplastic mammaplasty, referred to as geometric compensation, which is suitable for tumors close to the skin in areas not included in the classic preoperative drawings for mammaplasty.
  
  
  METHODS
  Seventeen patients with malignant tumors were included. Preoperative markings followed the "Wise-pattern" technique. The resection of affected skin was geometrically compensated with another area of preserved skin.
  
  
  RESULTS
  The mean age of the patients was 52.88 ± 12.14 years. Mean pathological tumor size was 43.82 ± 31.39 mm. There were 7 (41.18%) locally advanced tumors. Six patients (35.29%) were submitted to neoadjuvant and the remainder to adjuvant chemotherapy. Radiotherapy was indicated in all cases. Fifteen patients (88.24%) received hormone therapy. Ptosis was corrected in all cases. The aesthetic result was rated excellent in seven cases (41.18%), good in 7 (41.18%), and fair in three cases (17.65%). Surgical margins were free. A seroma developed in one case (5.88%), small fat necrosis in three (17.65%), and enlarged scar in one (5.88%). There were no recurrences within 28.24 ± 18.02 months.
  
  
  CONCLUSIONS
  The technique allowed breast conservation in situations requiring large resection of affected skin, with free surgical margins, correction of ptosis, satisfactory symmetry, and few complications.
authors.affiliation: Mastology Program, Department of Gynecology and Obstetrics, Federal University of Goiás, Goiânia, GO, Brazil.
authors.forename: Régis Resende
authors.initials: RR
authors.lastname: Paulinelli
authors.forename: Vilmar Marques
authors.initials: VM
authors.lastname: de Oliveira
authors.forename: Fábio
authors.initials: F
authors.lastname: Bagnoli
authors.forename: Milca Cézar
authors.initials: MC
authors.lastname: Chade
authors.forename: Katyane Larissa
authors.initials: KL
authors.lastname: Alves
authors.forename: Ruffo
authors.initials: R
authors.lastname: Freitas-Junior
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D015412:Mastectomy, Segmental / Q000379:methods*; D008875:Middle Aged
keywords: breast cancer; conservative surgery; mastopexy; oncoplastic surgery, mammoplasty