Assessment of the Grisotti oncoplastic procedure for the management of central breast tumors.
Grisotti technique
breast-conserving treatment
central breast tumors
oncoplastic surgery
satisfaction rate
Journal
The breast journal
ISSN: 1524-4741
Titre abrégé: Breast J
Pays: United States
ID NLM: 9505539
Informations de publication
Date de publication:
07 2021
07 2021
Historique:
revised:
30
04
2021
received:
14
01
2021
accepted:
30
04
2021
pubmed:
13
7
2021
medline:
11
8
2021
entrez:
12
7
2021
Statut:
ppublish
Résumé
The Grisotti technique consists to excise central breast tumor with nipple areolar and mobilize a dermo-glandular flap which is de-epithelized in order to reshape the breast and recreate an areola. The objective was to assess oncological results, postoperative side-effects, and patient and surgeon satisfaction rates resulting from this technique. From September 2016 to December 2019, 38 patients have been treated with a central breast tumor using the Grisotti technique. The mean age was 61.6 ± 11. The median body mass index was 27 kg/m² [20-42]. Thirty one patients benefited from a sentinel lymph node dissection. Preoperative histology found a majority of invasive ductal carcinomas (IDC) (71%). There were no intraoperative complications, and the average operating time was 90 min [60-200]. Postoperative histology found IDC associated with ductal carcinoma in situ in 28 patients. The surgical margins were invaded in two patients (reoperated by mastectomy after adjuvant treatment) and invasion of a margin of less than 1 mm in another six patients (supplemented by re-excision). The main postoperative complications were an abscess of the operating site and a partial necrosis of the neo-areola. The appearance of the breasts after radiotherapy gives a high satisfaction rate, both for patients and for surgeons. The Grisotti technique is an easily reproducible procedure without major complications. It makes it possible to perform a carcinological satisfactory central lumpectomy, correction of the central glandular defect, and reconstruction of a new areola.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
595-602Informations de copyright
© 2021 Wiley Periodicals LLC.
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