Outcomes of Asian women treated with Grisotti flap reconstruction for centrally located breast cancers 5-years single institutional experience

Teh, Mei-Sze and Teoh, Li-Ying and Jamaris, Suniza and Lai, Lee-Lee and See, Mee-Hoong (2021) Outcomes of Asian women treated with Grisotti flap reconstruction for centrally located breast cancers 5-years single institutional experience. Annals of Plastic Surgery, 87 (2). pp. 132-135. ISSN 0148-7043, DOI https://doi.org/10.1097/SAP.0000000000002631.

Full text not available from this repository.


Introduction Breast conserving surgeries were previously contraindicated for central breast cancers because of poor cosmetic outcomes of central mastectomy without oncoplastic surgery. Grisotti flap is a breast-conserving surgery incorporating oncoplastic surgery technique for centrally located breast cancers. We present our experience and outcome from Breast Surgery Unit, University Malaya Medical Center. Materials and Methods A prospective analysis of 15 patients with central retroareolar breast cancer operated from 2012 to 2018 in University Malaya Medical Center. We assessed postoperative complications, margins, locoregional recurrence, and survival outcome. All patients received postoperative radiotherapy. Patients were followed-up 1 week, 1 month, 3 monthly for 1 year and 6 monthly for 5 years. Results Mean age of patients is 62 years. Mean follow-up is 51 months (15-84 months). All tumors were less than 5 cm (1-2.5 cm). Majority of the patients are stage 1 (6 patients/40%) and stage 2 (8 patients/ 53.3%). 2 patients had surgical site infection resolved with antibiotics. One patient had hematoma. None require reoperation. Tumor margins were clear in all patients. No locoregional recurrence. Overall survival is 100%. All are satisfied with their cosmetic outcomes. Conclusions Grisotti flap is a volume displacement technique, which provides satisfactory cosmetic outcome for centrally located breast cancer. This evolutionary thinking leads us to changes in existing techniques with the purpose of achieving oncological safety while reaching for better esthetic results. Our 5 years' experience in Asian population showed that this technique is oncologically safe with good cosmetic outcomes and could be used selectively. It provides a good alternative in patients who are otherwise subjected for mastectomy. This relatively simple technique is a worthwhile endeavor and should be offered when feasible.

Item Type: Article
Uncontrolled Keywords: Breast cancer; Centrally located breast cancer; Grisotti flap; Oncoplastic breast surgery; Oncology; Retroareolar cancer
Subjects: R Medicine > RD Surgery
Depositing User: Ms Zaharah Ramly
Date Deposited: 18 Jul 2022 04:49
Last Modified: 18 Jul 2022 04:49
URI: http://eprints.um.edu.my/id/eprint/28029

Actions (login required)

View Item View Item