Surgical Treatment of Enormous Recurrent Dermatofibrosarcoma Protuberans

Abstract

A patient with enormous recurrent dermatofibrosarcoma protuberans underwent modified three-dimensional histology surgery. Frozen-section examination was used to identify the margins. The patient had a normal postoperative course.

Keywords

chest wall - tumor - surgery/incisions

• References

• 1 Miller SJ, Alam M, Andersen JS , et al; National Comprehensive Cancer Network. Dermatofibrosarcoma protuberans. J Natl Compr Canc Netw 2012; 10 (3) 312-318
• 2 Maki, Robert G., Moraco, Nicole, Antonescu, Cristina R., et al. Toward better soft tissue sarcoma staging: building on American Joint Committee on Cancer staging systems versions 6 and 7. Ann Surg Oncol 2013; 20 (11) 3377-3383
• 3 Agostini T, Dini M, Quattrini Li A , et al. A novel combined surgical approach to head and neck dermatofibrosarcoma protuberans. J Craniomaxillofac Surg 2013; 41 (7) 681-685
• 4 Nara K, Oue T, Yoneda A, Fukuzawa M, Yano K. A case of childhood dermatofibrosarcoma protuberans of the face. J Pediatr Surg 2011; 46 (7) 1438-1441
• 5 Casal D, Fradinho N, Ramos L , et al. Abdominoplasty and thoraco-epigastric flaps for large anterior trunk defects after dermatofibrosarcoma protuberans wide resection: two illustrative cases. Int J Surg Case Rep 2013; 4 (1) 134-138
• 6 Ahmed AA, Ostlie D, Fraser JD, Newell B, Cooley L. Dermatofibrosarcoma protuberans in the breast of a 2-year-old girl. Ann Diagn Pathol 2010; 14 (4) 279-283
• 7 Sin FN, Wong KW. Dermatofibrosarcoma protuberans of the breast: a case report. Clin Imaging 2011; 35 (5) 398-400
• 8 Vandeweyer E, Seyeidi JV, Deraemaecker R. Dermatofibrosarcoma protuberans of the upper lip: an overview and a case report. Eur J Surg Oncol 1997; 23 (3) 275-277
• 9 Lemm D, Mügge LO, Mentzel T, Höffken K. Current treatment options in dermatofibrosarcoma protuberans. J Cancer Res Clin Oncol 2009; 135 (5) 653-665
• 10 Iqbal CW, St Peter S, Ishitani MB. Pediatric dermatofibrosarcoma protuberans: multi-institutional outcomes. J Surg Res 2011; 170 (1) 69-72
• 11 Mohs FE. Chemosurgery: microscopically controlled surgery for skin cancer—past, present and future. J Dermatol Surg Oncol 1978; 4 (1) 41-54
• 12 Johnson-Jahangir H, Ratner D. Advances in management of dermatofibrosarcoma protuberans. Dermatol Clin 2011; 29 (2) 191-200 , viii
• 13 Meguerditchian AN, Wang J, Lema B, Kraybill WG, Zeitouni NC, Kane III JM. Wide excision or Mohs micrographic surgery for the treatment of primary dermatofibrosarcoma protuberans. Am J Clin Oncol 2010; 33 (3) 300-303
• 14 Kokkinos C, Sorkin T, Powell B. To Mohs or not to Mohs. J Plast Reconstr Aesthet Surg 2014; 67 (1) 23-26
• 15 Tang J, Wang JJ, Zhai W, Zhang SC. Chest wall reconstruction in a patient with sternal fibrous dysplasia. Thorac Cardiovasc Surg 2011; 59 (1) 58-60
• 16 Moehrle M, Breuninger H, Röcken M. A confusing world: what to call histology of three-dimensional tumour margins?. J Eur Acad Dermatol Venereol 2007; 21 (5) 591-595
• 17 Häfner HM, Moehrle M, Eder S, Trilling B, Röcken M, Breuninger H. 3D-Histological evaluation of surgery in dermatofibrosarcoma protuberans and malignant fibrous histiocytoma: differences in growth patterns and outcome. Eur J Surg Oncol 2008; 34 (6) 680-686
• 18 Irarrazaval I, Redondo P. Three-dimensional histology for dermatofibrosarcoma protuberans: case series and surgical technique. J Am Acad Dermatol 2012; 67 (5) 991-996