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- W3179589969 abstract "Introduction 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. Materials and methods From September 2016 to December 2019, 38 patients have been treated with a central breast tumor using the Grisotti technique. Results 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. Conclusion 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." @default.
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- W3179589969 date "2021-07-01" @default.
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- W3179589969 title "Assessment of the Grisotti oncoplastic procedure for the management of central breast tumors" @default.
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- W3179589969 doi "https://doi.org/10.1111/tbj.14256" @default.
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