Evaluation of the Wise pattern technique in the surgical management of breast cancer cases in Egyptian females

Background: Breast cancer is a common malignancy among women worldwide. Various surgical techniques, includingbreast-conserving surgery and mastectomy, are used depending on the disease’s characteristics and patient preferences.The Wise pattern technique is a widely used approach for oncoplastic surgery, especially in patients with large-sized ptotic breasts.Objective: This study aimed to evaluate the use of the Wise pattern technique in Egyptian females with large ptoticbreasts undergoing either breast-conserving surgery or mastectomy.Patients and Methods: A prospective study was conducted on 100 Egyptian females with large-sized ptotic breasts(cup sizes C and D) and pathologically confirmed malignant breast lesions. Patients included were those admitted to theSurgical Oncology Unit at Alexandria Main University Hospital for either oncoplastic breast surgery or mastectomy.Exclusion criteria involved patients with metastatic Stage IV breast cancer, small-sized breasts (cup sizes A and B),inflammatory breast cancer requiring modified radical mastectomy, and cases with suspected skin involvement that would complicate the Wise pattern design.Conclusion: The study provides insight into the effectiveness and safety of the Wise pattern technique in managing breast cancer in patients with large-sized ptotic breasts. The findings suggest that this approach may offer favorable cosmetic and oncological outcomes, contributing to improved patient satisfaction and quality of life.