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Oncoplastic Mammoplasty with disguised geometric compensation
Regis Resende Paulinelli1, Luiz Fernando Jube Ribeiro2, Thauana Dias Santos2
1Gynaecology and Breast Unit, Araujo Jorge Cancer Hospital, ACCG, Goiania, Goias, Brazil; Program of Mastology, Department of Gynaecology and Obstetrics, Federal University of Goiás, Goiania, Goias, Brazil.
Disguised Geometric Compensation Mammoplasty (GCM) offers excellent aesthetic outcomes and high rates of clear margins for breast cancer patients requiring large resections in the mammoplasty pillars. This oncoplastic technique effectively corrects ptosis with minimal complications.
Area of Science:
- Oncoplastic surgery
- Breast cancer treatment
- Surgical techniques
Background:
- Tumours in the glandular tissue of mammoplasty pillars pose a surgical challenge.
- Oncoplastic mammoplasty aims to achieve oncological safety and aesthetic results.
- Novel techniques are needed to address complex tumour locations in breast surgery.
Purpose of the Study:
- To evaluate the outcomes of Disguised Geometric Compensation Mammoplasty (GCM) for breast tumours in mammoplasty pillars.
- To assess the oncological and aesthetic results of this new oncoplastic technique.
- To determine the safety and efficacy of Disguised GCM in breast conservation.
Main Methods:
- A cohort of 25 patients with breast tumours in mammoplasty pillars underwent Disguised GCM.
- The technique involves geometric compensation for tumour resection, preserving skin vascularity.
- Tumour types included invasive ductal carcinoma, phyllodes tumours, and invasive lobular carcinoma.
Main Results:
- 95.5% of patients achieved excellent or good aesthetic results.
- High rates of free margins and ptosis correction were observed.
- Patient satisfaction scores (BREAST-Q) were high, with low rates of minor complications (24.0%).
Conclusions:
- Disguised Geometric Compensation Mammoplasty enables breast conservation for large pillar resections.
- The technique provides high rates of free margins, ptosis correction, and satisfactory symmetry.
- Disguised GCM is a safe and effective oncoplastic procedure with few complications.
