RADICAL, ONCOPLASTIC ORGANSPARING METHODS OF SURGICAL TREATMENT OF CENTRALLY AND RETROAREOLARLY LOCALISED BREAST CANCER

Abstract

Within oncoplastic breast techniques there is increased interest in immediate partial breast reconstruction. Central tumours of the breast have classically been treated with a mastectomy with regard to oncological safety and cosmetic secondary effects after wide central resection of the nipple and breast tissue beneath. Oncological results for central quadrantectomy have a recurrence level, disease-free period and survival identical to mastectomy. Grissoti flap is an oncoplastic surgical technique that allows the surgeon to perform a safe central quadrantectomy with excellent cosmetic results. Conservative surgery for retroareolar central tumors of the breast results in good local control of the disease with free surgical borders, including resection of the nipple areola complex. Reconstructive surgery with the inferior Grissoti flap adequately fills the defect after central quadrantectomy with creation of a new cutaneous disc where a new nipple areola complex is reconstructed. Sentinel Node biopsy can be performed without added morbidity. When feasible, the Grissoti flap will avoid skinsparing mastectomy for central breast tumors that will require the use of other, expensive materials and techniques. Key Words: Breast Cancer, Grisotti technique.