Hashem Tarek, Farahat Ahmed
Breast Surgery Department, National Cancer Institute, Cairo University, Cairo, Egypt.
Department of Surgical Oncology, National Cancer Institute, Nr 1, Fom El Khalig, Kasr El Aini Street, Cairo, Egypt.
World J Surg Oncol. 2017 Mar 14;15(1):60. doi: 10.1186/s12957-017-1124-5.
The aim of this study is to compare the results of batwing mammoplasty and Wise pattern mammoplasty in the surgical management of upper pole breast tumours.
This is a retrospective observational study including 126 breast cancer patients who presented between 2009 and 2015 to the National Cancer Institute of Cairo University in Egypt. All patients were candidates for breast conservation, with upper pole tumours, which was defined as tumours between 3 and 9 o'clock. Patients were categorized into two groups. Group A (64) included patients who underwent inferiorly based therapeutic mammoplasty, while group B (62) was designated for patients who had batwing mammoplasty. The results of both groups were compared and analyzed.
Wise pattern mammoplasty group had statistically significant higher complication rate. The overall aesthetic result of Wise pattern technique was superior to batwing mammoplasty. However, batwing mammoplasty showed a statistically significant higher rate of patient satisfaction.
Both techniques are valid options for upper pole breast tumours. Wise pattern therapeutic mammoplasty remains aesthetically superior; however, batwing mammoplasty is an easy, simple technique with acceptable results to patients.
本研究旨在比较蝙蝠翼乳房成形术和 Wise 式乳房成形术在乳房上极肿瘤手术治疗中的效果。
这是一项回顾性观察研究，纳入了 2009 年至 2015 年期间就诊于埃及开罗大学国家癌症研究所的 126 例乳腺癌患者。所有患者均为适合保乳治疗的乳房上极肿瘤患者，乳房上极肿瘤定义为位于 3 点至 9 点之间的肿瘤。患者被分为两组。A 组（64 例）包括接受下蒂治疗性乳房成形术的患者，而 B 组（62 例）为接受蝙蝠翼乳房成形术的患者。对两组结果进行比较和分析。
Wise 式乳房成形术组的并发症发生率在统计学上显著更高。Wise 式技术的总体美学效果优于蝙蝠翼乳房成形术。然而，蝙蝠翼乳房成形术的患者满意度在统计学上显著更高。
两种技术都是乳房上极肿瘤的有效选择。Wise 式治疗性乳房成形术在美学上仍然更具优势；然而，蝙蝠翼乳房成形术是一种简单易行的技术，患者对其结果可接受。
