Assessment of the Grisotti oncoplastic procedure for the management of central breast tumors

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.