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Skin Cancer

Skin Cancer

Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...

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Updated: Jan 17, 2026

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Excess Horizontal Breast Skin Facilitates a Simpler Wise Pattern Split Reduction Incision for Superficial Cancers.

Jean-Claude D Schwartz¹

¹From the Gwinnett Surgical Specialists, LLC, Lawrenceville, GA.

Plastic and Reconstructive Surgery. Global Open

|September 22, 2025

Summary

This summary is machine-generated.

The modified Wise pattern split reduction (WPSR) incision uses horizontal breast skin excess for certain breast cancers. This technique offers a smaller scar and simpler surgery while ensuring clear margins.

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Area of Science:

Surgical Oncology
Breast Cancer Surgery

Background:

The standard Wise pattern split reduction (WPSR) incision is adapted for breast cancers near skin margins.
This technique typically utilizes excess vertical breast skin, resecting skin over the tumor to ensure clear margins and reposition scars.

Purpose of the Study:

To evaluate a modification of the WPSR incision that utilizes excess horizontal breast skin.
To assess the feasibility and outcomes of this modified approach for specific breast cancer cases.

Main Methods:

Retrospective review of 10 consecutive breast cancer patients.
Patients underwent a WPSR incision utilizing horizontal skin excess, decided preoperatively or intraoperatively.
The approach was used for superficial, smaller, less extensive cancers adjacent to standard WPSR markings.

Main Results:

The modified WPSR incision successfully facilitated clear anterior margins in all 10 patients.
This approach resulted in a smaller final scar compared to standard techniques.
The surgical procedure was less extensive and complex.

Conclusions:

The modified WPSR incision using horizontal skin excess is a viable option for selected breast cancers.
This technique provides oncologic safety with improved cosmetic outcomes and surgical simplicity.
It represents a valuable modification for specific patient and tumor characteristics.