Breast-conserving surgery with the geometric compensation/split reduction technique. Indications, oncologic safety and cosmesis. A cohort series and systematic review of the literature

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorBarretos Cancer Hospital-
Autor(es): dc.contributorMuriaé Cancer Hospital-
Autor(es): dc.creatorFranca, Flávia Cardoso-
Autor(es): dc.creatorde Oliveira-Junior, Idam-
Autor(es): dc.creatorMorgan, Andréa Moreno-
Autor(es): dc.creatorHaikel, Raphael Luiz-
Autor(es): dc.creatorda Costa Vieira, René Aloisio-
Data de aceite: dc.date.accessioned2025-08-21T20:07:18Z-
Data de disponibilização: dc.date.available2025-08-21T20:07:18Z-
Data de envio: dc.date.issued2023-03-01-
Data de envio: dc.date.issued2023-03-01-
Data de envio: dc.date.issued2022-09-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1016/j.suronc.2022.101839-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/241520-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/241520-
Descrição: dc.descriptionBackground: The Geometric Compensation Technique (GCT) and the Split Reduction Technique (SRT) enables breast conserving surgery (BCS) in selected patients with breast cancer initially candidates to mastectomy. Methods: Observational study of patients with breast cancer who underwent GCT consecutively treated. Evaluated retrospectively: indications, clinical characteristics, surgical features and recurrences. Cosmesis were evaluated prospectively by the BCCT.core software, Harris/Harvard and Garbay scales. Descriptive statistics were performed, chi-square test was used to compare aesthetic outcomes; Kappa and Weighted Kappa test was used to assess agreement between the postoperative evaluations; Kaplan-Meier model for follow-up and recurrence. A systematic review was carried out using PRISMA methodology. Results: Thirty-six patients were evaluated, 26 (72.2%) with medium/large breasts with or without ptosis, seven (19.4%) with small breasts with or without ptosis, a profile undergoing GCT not previously identified in the literature. The mean tumor clinical size was 3.65 ± 1.59 cm. 34 (94.4%) patients underwent GCT. Mean follow-up time was 36.6 ± 16.8 months, with no local recurrences. According to BCCT.core, the postoperative aesthetic was good in 17 (51.5%) patients and 11 (33.3%) was reasonable. In the systematic review, 3.584 articles were evaluated, 20 articles were selected, 243 patients undergoing GCT were found, with several indications for BCS instead of mastectomy, with high rates of free margins, low recurrence and good aesthetic outcomes. Conclusion: GCT, an oncologically safe and aesthetically satisfactory option, has been extended to patients with small and medium breasts with ptosis, large tumors to breast volume or in unfavorable resection sites, initially candidates for mastectomy.-
Descrição: dc.descriptionPostgraduate Program of Tocoginecology Botucatu Medical School São Paulo State University – UNESP, Av. Prof. Montenegro. Distrito de Botucatu, SP-
Descrição: dc.descriptionPostgraduate Program of Oncology Barretos Cancer Hospital, R. Antenor Duarte Viléla, 1331 - Dr. Paulo Prata, SP-
Descrição: dc.descriptionDepartment of Mastology and Breast Reconstruction Barretos Cancer Hospital, R. Antenor Duarte Viléla, 1331 - Dr. Paulo Prata, SP-
Descrição: dc.descriptionDepartament of Surgery Division of Mastology Muriaé Cancer Hospital, Av. Cristiano Ferreira Varella, 555 - Universitário, MG-
Descrição: dc.descriptionPostgraduate Program of Tocoginecology Botucatu Medical School São Paulo State University – UNESP, Av. Prof. Montenegro. Distrito de Botucatu, SP-
Idioma: dc.languageen-
Relação: dc.relationSurgical Oncology-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectBreast neoplasms-
Palavras-chave: dc.subjectConservative treatment-
Palavras-chave: dc.subjectMammoplasty-
Palavras-chave: dc.subjectPlastic surgery-
Palavras-chave: dc.subjectSegmental mastectomy-
Título: dc.titleBreast-conserving surgery with the geometric compensation/split reduction technique. Indications, oncologic safety and cosmesis. A cohort series and systematic review of the literature-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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