The outcome of Grisotti flap oncoplastic technique in central breast cancer: case series
DOI:
https://doi.org/10.18203/2349-2902.isj20231390Keywords:
Centrally located breast cancer, Grisotti flap technique, Oncoplastic breast conserving surgeryAbstract
Breast cancer patients with centrally located cancer always receive mastectomy or the combination of central excision and primary closure. With the development of modern oncoplastic breast-conserving technique, a variety of techniques are available to deal with centrally located breast cancers (CLBCs). Among these techniques, Grisotti flap technique is special, because it is easy to handle and only causes minor injury by using a local rotational dermoglandular flap to fill the defect of central part. In our study, we performed grisotti flap on seven patients with CLBCs and one patient with Paget’s disease. We found that performing Grisotti flap technique is safe oncologically with satisfactory aesthetic outcome for patients with CLBCs. However, further long term study on larger number of patients is needed to assess the long-term outcome of this surgical procedure in terms of survival.
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References
Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020;70:7-30.
Franceschini G, Martin Sanchez A, Di Leone A, Magno S, Moschella F, Accetta C, et al. New trends in breast cancer surgery: a therapeutic approach increasingly efficacy and respectful of the patient. G Chir. 2015;36(4):145-52.
Audretsch WP, Rezai M, Kolotas C. Onco-plastic surgery: “target” volume reduction (BCT-mastopexy), lumpectomy reconstruction (BCT-reconstruction) and flap-supported operability in breast cancer. Proceedings of the 2nd European Congress on Senology. Vienna, Austria; Moncuzzi, Bologna; 1994: 139-57.
Audretsch WP, Rezai M, Kolotas C. Tumor-specific immediate reconstruction (TSIR) in breast cancer patients. Perspect Plast Surg. 1998;11:71-106.
Clough KB, Cuminet J, Fitoussi A, Nos C, Mosseri V, et al. Cosmetic sequelae after conservative treatment for breast cancer: classification and results of surgical correction. Ann Plast Surg. 1998;41(5): 471-81.
Bostwick J, Paletta C, Hartrampf CR. Conservative treatment for breast cancer. complications requiring reconstructive surgery. Ann Surg. 1986;203:481-90.
Petit JY, Rietjens M. Deormities following tumorectomy and partial mastectomy. In: Noon B, eds. Plastic and reconstructive surgery of the breast. Philadelphia: Marcel Decker; 1991: 455-66.
Clough KB, Nos C, Salmon RJ, Soussaline M, Durand JC. Conservative treatment of breast cancers by mammaplasty and irradiation: a new approach to lower quadrant tumors. Plast Reconstr Surg. 1995;96(2):363-70.
Masetti R, Pirulli PG, Magno S, Terribile D, Fabbri MC, Chiesa F. Oncoplastic techniques in the conservative surgical treatment of breast cancer. Breast Cancer. 2000;7:276-80.
Kijima Y, Yoshinaka H, Funasako Y, Natsugoe S, Aikou T. Oncoplastic surgery after mammary reduction and mastopexy for bilateral breast cancer lesions: report of a case. Surg Today. 2008:335(4):9-38.
Kijima Y, Yoshinaka H, Ishigami S, Hirata M, Kaneko K, Mizoguchi T, et al. Oncoplastic surgery for Japanese patients with ptotic breasts. Breast Cancer. 2011;18(4):273-81.
Kijima Y, Yoshinaka H, Hirata M, Mizoguchi T, Ishigami S, Nakajo A, et al. Oncoplastic surgery for Japanese patients with breast cancer of the lower pole. Surg Today. 2011;41(10):1461-5.
Zaha H, Hakazu O, Watanabe M. Breast-conserving surgery using reduction mammoplasty. Jpn J Breast Cancer. 2008;23:211-5.
Grisotti A, Casella D, Calabrese C. Immediate reconstruction of central quadrantectomy defects with a rotation flap, the Grisotti technique. In: Fitzal F, Schrenk P, eds. Oncoplastic breast surgery; a guide to clinical practice. New York: Springer-Verlag Wien; 2010: 97.
Simmons RM, Brennan M, Christos P, King V, Osborne M. Analysis of nipple/ areolar involvement with mastectomy: can the areola be preserved? Ann Surg Oncol. 2002;9(2):165-8.
Vlajcic Z, Zic R, Stanec S, Lambasa S, Petrovecki M, Stanec Z. Nippleareola complex preservation: predictive factors of neoplastic nipple-areola complex invasion. Ann Plast Surg. 2005;55:240-4.
Shechter S, Friedman O, Inbal A, Arad E, Menes T, Barsuk D, et al. Oncoplastic partial breast reconstruction improves patient satisfaction and aesthetic outcome for central breast tumours. ANZ J Surg. 2019;89(5):536-40.
Geletzke A, EH, Gass JS. In: Klimberg VS, Kovacs T, Rubio IT, eds. Oncoplastic Breast Surgery Techniques for the General Surgeon. Switzerland: Springer; 2020.
Johnson M, Cook L, Fabio I. Rapisarda, Dibendu Betal and Riccardo Bonomi: Oncoplastic breast surgery technique for retroareolar breast cancer: a technical modification of the Grisotti f lap in patients with short nipple to inferior mammary crease distance. J Surgic Case Rep. 2020;9:1-4.
Multon O, Bourgeois D, Validire P. Breast cancers with central localization: conservative treatment by tumorectomy with ablation of the areolar plaque. Presse Med. 1997;26:988-94.
Horiguchi J, Koibuchi Y, Iijima K, Yoshida T, Takata D, Rokutanda N, et al. Local control by breast-conserving surgery with nipple resection. Anticancer Res. 2005;25(4):2957-9.
Dixon AR, Galea MH, Ellis IO, Elston CW, Blamey RW. Paget’s disease of the nipple. Br J Surg. 1991;78(6):722-3.
Marshall JK, Griffith KA, Haffty BG. Conservative management of Paget disease of the breast with radiotherapy: 10- and 15-year results. Cancer. 2003;2142:97-9.
Pezzi CM, Kukora JS, Audet IM. Breast conservation surgery using nipple-areolar resection for central breast cancers. Arch Surg. 2004;139:32-7.
Clough KB, Baruch J. Plastic surgery and conservative treatment of breast cancer. Indications and results. Ann Chir Plast Esthet. 1992;37:682-92.
Wayand W. Central quadrantectomy with resection of the nipple-areola complex compared with mastectomy in patients with retroareolar breast cancer.Breast J. 2007;13:557-63.
Schrenk P. In: Fitzal F, Schrenk P, eds. Retroareolar Breast Cancer Treated with Central Quadrantectomy. Vienna: Springer Verlag; 2015.
Grisotti A. Immediate reconstruction after partial mastectomy. Operat Techniq Plast Reconstruct Surg. 1994;1:1-12.
Galimberti V, Zurrida S, Zanini V, Callegari M, Veronesi P, Catania S, et al. Central small size breast cancer: how to overcome the problem of nipple and areola involvement. Eur J Cancer. 1993;29:1093-6.
Betal MS, Rapisarda F, Kalra L, Bonomi R, Johri A. Grisotti flap reconstruction of central retroareolar breast cancers at west Sussex breast unit. Eur J Surg Oncol. 2011;52:996.
Clough KB, Ihrai T, Oden S, Kaufman G, Massey E, Nos C. Oncoplastic surgery for breast cancer based on tumour location and a quadrant-per-quadrant atlas. Br J Surg. 2012;99(10):1389-95.
Sohn VY, Arthurs ZM, Sebesta JA, Brown TA. primary tumor location impacts breast cancer survival. Am J Surg. 2008;195(5):641-4.
Clough KB, Kaufman GJ, Nos C, Buccimazza I, Sarfati IM. Improving breast cancer surgery: a classification and quadrant per quadrant atlas for oncoplastic surgery. Ann Surg Oncol. 2010;17(5):1375-91.
Wagner E, Schrenk P, Huemer GM, Sir A, Schreiner M, Wayand W. Central quadrantectomy with resection of the nipple-areola complex compared with mastectomy in patients with retroareolar breast cancer. Breast J. 2007;13(6):557-63
Schrenk P, Huemer GM, Sir A, Moser F, Wayand W. Tumor quadrantectomy combined with reduction mammoplasty for the treatment of breast cancer. Eur Surg. 2006;38(6):424-32.