Eur J Plast Surg (2017) 40:195–202 DOI 10.1007/s00238-016-1236-0 ORIGINAL PAPER The over-Wise mammoplasty: a modified Wise pattern for large superficial breast tumors 1,2 Lena Carstensen Received: 18 January 2016 /Accepted: 9 August 2016 /Published online: 26 August 2016 Springer-Verlag Berlin Heidelberg 2016 Abstract Introduction Background Large breast tumors in the upper quadrants of the breast pose a great challenge to the oncoplastic surgeon. Many women with breast cancer have large tumors at the time Standard mammoplasty techniques cannot be used, and re- of presentation . In spite of today’s excellent results after placement techniques with local flaps may be too small or mastectomy and primary reconstruction, many of these wom- too risky. We present a safe and simple modification of the en insist on breast-conserving surgery (BCS) [2, 3]. The larger standard Wise pattern that allows for large resections includ- the resection volume in relation to breast size, the greater the ing skin in the upper quadrants. importance of oncoplastic knowledge, aesthetic understand- Methods From 2011 to 2014, a series of women with large ing, and dexterity of the surgeon [4, 5]. Large tumors located tumor areas in the upper lateral quadrant were treated with within the classic Wise
European Journal of Plastic Surgery – Springer Journals
Published: Aug 26, 2016
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