| Abstrakt: |
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. [ABSTRACT FROM AUTHOR] |
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