Portsmouth Breast Care Centre, Queen Alexandra Hospital, Portsmouth PO6 3LY, UK.
J Plast Reconstr Aesthet Surg. 2013 Feb;66(2):e31-6. doi: 10.1016/j.bjps.2012.09.003. Epub 2012 Oct 3.
The upper outer quadrant of the breast is the most common site for the incidence of breast cancer, and the upper inner quadrant the most cosmetically sensitive area. If an oncoplastic approach is considered however, these quadrants do not fall within the classical Wise pattern for oncological mammoplasty. We use a simple modification of the Wise pattern that facilitates oncological mammoplasty of tumours in these quadrants without the need for secondary or extended pedicles. In planning this modification excision of skin overlying the tumour is usually also possible. The modification of the Wise pattern technique that we use is described as a technical note, and a case series of 11 patients who underwent this procedure is presented. To date there have been no recurrences. This is a simple cosmetically acceptable modification of the Wise pattern breast reduction for oncological mammoplasty.
乳房的外上象限是乳腺癌发病率最常见的部位，而内上象限则是最具美容敏感性的区域。然而，如果考虑采用肿瘤整形方法，这些象限并不属于经典的 Wise 式乳腺癌切除术的适应证。我们采用了一种简单的 Wise 式改良方法，能够在无需二次或扩展蒂的情况下对这些象限的肿瘤进行肿瘤整形手术。在进行这种改良时，通常也可以切除肿瘤上方的皮肤。我们使用的 Wise 式改良技术描述为技术说明，并介绍了 11 例接受该手术的患者的病例系列。迄今为止，尚无复发。这是一种对 Wise 式乳房缩小术进行的简单、美容效果可接受的改良，适用于肿瘤整形手术。
