Abstract
Background
Large breast tumors in the upper quadrants of the breast pose a great challenge to the oncoplastic surgeon. Standard mammoplasty techniques cannot be used, and replacement techniques with local flaps may be too small or too risky. We present a safe and simple modification of the standard Wise pattern that allows for large resections including skin in the upper quadrants.
Methods
From 2011 to 2014, a series of women with large tumor areas in the upper lateral quadrant were treated with breast-conserving surgery and the over-Wise mammoplasty. Pre- and postoperative data were recorded and cosmetic and oncologic outcome evaluated.
Results
Thirteen women were operated on using the over-Wise technique, all with a cosmetically satisfactory result. The complication rate in the affected breast was 7.7 %.
Conclusions
The over-Wise mammoplasty offers a simple solution to a complex problem, in that it allows very large resections of superficial tumors in the upper quadrants, with minimal risk and excellent cosmetic results.
Level of evidence: Level IV, therapeutic study.
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Lena Carstensen declares that she has no conflict of interest.
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Carstensen, L. The over-Wise mammoplasty: a modified Wise pattern for large superficial breast tumors. Eur J Plast Surg 40, 195–202 (2017). https://doi.org/10.1007/s00238-016-1236-0
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DOI: https://doi.org/10.1007/s00238-016-1236-0