Modified Wise-Pattern Reduction Mammaplasty, a New Tool for Upper Quadrantectomies: A Preliminary Report |
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Authors: | F Santanelli PhD G Paolini MD A Campanale MD B Longo MD C Amanti MD |
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Institution: | (1) Plastic Surgery Unit, Sant’Andrea Hospital, II School of Medicine, University of Rome “La Sapienza”, Rome, Italy;(2) Master in “Breast Reconstruction” 2007/2008, Sant’Andrea Hospital, II School of Medicine, University of Rome “La Sapienza”, Rome, Italy;(3) Plastic Surgery Unit, School of Medicine, University of Foggia, “Ospedali Riuniti” Hospital, Foggia, Italy;(4) Breast Surgery Unit, Sant’Andrea Hospital, II School of Medicine, University of Rome “La Sapienza”, Rome, Italy |
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Abstract: | Background Quadrantectomy is an oncological safe procedure for early breast cancer, but it often results in poor aesthetic results such
as breast shape deformity, more visible if the tumor is located in the upper pole. We suggest the use of a modified Wise-pattern
breast reduction in patients with moderate to severe breast hypertrophy and tumor located in upper quadrants that keeps the
oncological advantages of the quadrantectomy but with better aesthetical results.
Material and Methods Quadrantectomy of the upper quadrant, immediate breast reconstruction and contralateral breast reduction to obtain symmetry
was performed on 11 patients affected by early breast cancer with bra cup size from C to E. To replace the skin area removed
with mastectomy from the upper quadrants, a similar-size area from the lower pole was preserved.
Results All patients healed uneventfully within 15 days, and no local or distant recurrences occurred with mean follow-up of 26.5 months
(range 19–39 months). In all cases natural breast shape was achieved. The scars were similar to a reduction mammaplasty, and
the medial or lateral scar on the upper quadrant did not aesthetically disfigure the décolleté.
Conclusions Modified Wise-pattern reduction mammaplasty is a valid technique as immediate breast reconstruction to obtain a natural breast
mound after upper quadrantectomies on patients with medium/large breasts. |
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