{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T13:46:53Z","timestamp":1792072013190,"version":"4.4.0"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2012,9,7]],"date-time":"2012-09-07T00:00:00Z","timestamp":1346976000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,9,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The majority of published techniques for oncoplastic surgery rely on an inverted-T mammoplasty, independent of tumour location. These techniques, although useful, cannot be adapted to all situations. A quadrant-per-quadrant atlas of mammoplasty techniques for large breast cancers was developed in order to offer breast surgeons a technique dependent on tumour location, which reduces the risk of postoperative complications and delay to adjuvant therapy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>From 2005 to 2010, a series of eligible women with breast cancer were treated by quadrant-specific oncoplastic techniques. All complications and any delay to adjuvant treatment were recorded prospectively, along with local and distant cancer recurrences. Cosmetic outcome was evaluated using a five-point scale.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 175 patients were analysed. The median tumour size, after histological examination, was 25 (range 4\u201390) mm. Twenty-three patients (13\u00b71 per cent) had involved margins. Seventeen of these patients were treated by mastectomy and three had a re-excision. Complications occurred in 13 patients (7\u00b74 per cent), which led to a delay to adjuvant treatment in three (1\u00b77 per cent). After a median follow-up of 49 (range 23\u201396) months, three patients had developed a local recurrence. The mean score after cosmetic evaluation was 4\u00b76 of 5.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>A quadrant-per-quadrant approach to oncoplastic techniques for breast cancer was developed that tailors the mammoplasty for each tumour location. This panel of techniques should be a useful guide for breast surgeons, and extends the possibilities for breast conservation for large or poorly limited cancers, with a low complication rate and good cosmetic results.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.8877","type":"journal-article","created":{"date-parts":[[2012,9,7]],"date-time":"2012-09-07T14:19:20Z","timestamp":1347027560000},"page":"1389-1395","source":"Crossref","is-referenced-by-count":150,"title":["Oncoplastic surgery for breast cancer based on tumour location and a quadrant-per-quadrant atlas"],"prefix":"10.1093","volume":"99","author":[{"given":"K B","family":"Clough","sequence":"first","affiliation":[{"name":"The Paris Breast Centre\u2014L'Institut du Sein, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"Ihrai","sequence":"additional","affiliation":[{"name":"The Paris Breast Centre\u2014L'Institut du Sein, Paris, France"},{"name":"Breast Cancer Unit, Centre Antoine Lacassagne, Nice, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Oden","sequence":"additional","affiliation":[{"name":"The Paris Breast Centre\u2014L'Institut du Sein, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Kaufman","sequence":"additional","affiliation":[{"name":"The Paris Breast Centre\u2014L'Institut du Sein, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Massey","sequence":"additional","affiliation":[{"name":"The Paris Breast Centre\u2014L'Institut du Sein, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Nos","sequence":"additional","affiliation":[{"name":"The Paris Breast Centre\u2014L'Institut du Sein, Paris, 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