Background: Breast conservative surgery (BCS) was absolutely contraindicated in centrally located breast
cancer (CLBC). This study evaluates the short-term oncological and cosmetic outcomes of different
oncoplastic procedures after resection of CLBC.
Material and methods: This prospective study includes 40 female patients with CLBC who underwent
different oncoplastic techniques and had the Grisotti, Melon slice, Round block, and Batwing mastopexy
techniques. Cosmetic outcomes were evaluated by patients and surgeons, in addition to assessing the
oncological outcome.
Results: The patients evaluated the postoperative cosmetic result. They were described as excellent in 27
patients (67.5%), good in 11 patients (27.5%), fair in 2 patients (5%) with neither poor nor bad results, with
a mean of 4.44 ± 0.6 (P ¼ 0.002). In comparison, the surgeons evaluation was 10 points in 8 patients
(20%), 9 points in 7 patients (17.5%), 8 points in 12 patients (30%), 7 points in 3 patients (7.5%), 6 points in
7 patients (17.5%), and 5 points in 3 patients (7.5%), with a mean of 7.54 ± 1.52, (P ¼ 0.001).
Conclusions: The Grisotti technique is associated with a better cosmetic result when reconstructing the
central defect in moderate-sized breasts. Batwing mastopexy and round block techniques can be used to
resect the central tumors with an excellent cosmetic outcome. |
