Oncoplastic breast-conserving surgery using a modified Grisotti's flap for a patient with central breast cancer in a non-ptotic breast.

The treatment of patients with early breast cancer using breast-conserving surgery (BCS) commonly leads to local control and acceptable cosmetic results. We herein report a useful technique to achieve symmetry of the breast shape and size for a central lesion of the breast. A Japanese patient with early breast cancer located in the central area of the breast was enrolled in this study. Intraductal spread to the nipple was suspected. We resected the cylindrically shaped breast tissue with the nipple-areola complex and repaired the resected area using a modified Grisotti technique, a volume displacement technique using breast tissue with extra-breast tissue. The modified Grisotti flap technique during oncoplastic breast-conserving surgery (OPBCS) may thus be useful for patients who desire a symmetrical breast shape and size.