{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T10:22:38Z","timestamp":1774261358535,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,2,4]],"date-time":"2020-02-04T00:00:00Z","timestamp":1580774400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>To report on the outcomes and evolution of an oncoplastic mammaplasty referred to as geometric compensation mammaplasty.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seventy\u2010three patients with malignant tumours were operated on and followed up in five centres in two countries. Preoperative markings were performed using a Wise pattern. The resection of affected skin was geometrically compensated using another area of preserved skin.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean pathological tumour size was 30.42\u2009\u00b1\u200921.98\u2009mm. Twenty tumours (30.77%) were locally advanced and 15 (20.55%) were multicentric. Twenty\u2010two patients (34.38%) were submitted to neoadjuvant chemotherapy. Cosmetic results were considered good or excellent in 59 cases (80.82%). Margins were positive in two cases (2.74%). Complications were partial wound dehiscence (n\u2009=\u200911; 15.07%), fat necrosis (n\u2009=\u20099; 12.33%), skin necrosis (n\u2009=\u20095; 6.85%), seromas (n\u2009=\u20095; 6.85%), enlarged scars (n\u2009=\u20097; 9.59%) and infection (n\u2009=\u20092; 2.74%). There were three cases of local recurrence (4.29%), two of bone metastasis (2.86%) and three of metachronous contralateral breast cancer (4.35%). No deaths were recorded within a mean follow\u2010up of 35.33\u2009\u00b1\u200928.21 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The technique allowed breast conservation in situations requiring a large resection of skin in difficult positions, with a high rate of free margins, correction of ptosis, satisfactory symmetry and few complications.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.25860","type":"journal-article","created":{"date-parts":[[2020,2,5]],"date-time":"2020-02-05T03:35:01Z","timestamp":1580873701000},"page":"967-974","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Oncoplastic mammaplasty with geometric compensation: Evolution of the technique, outcomes and follow\u2010up in a multicentre retrospective 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