Secondary reconstruction for dermatofibrosarcoma protuberans in the scalp

DOI 7 References
  • KAMO Riei
    Department of Dermatology, Osaka City University Graduate School of Medicine
  • SUGAWARA Koji
    Department of Dermatology, Osaka City University Graduate School of Medicine
  • MAEKAWA Naoki
    Department of Dermatology, Osaka City General Hospital
  • ISHII Masamitsu
    Department of Dermatology, Osaka City University Graduate School of Medicine

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Other Title
  • 隆起性皮膚線維肉腫　　二期的再建を行った頭部の隆起性皮膚線維肉腫の１例

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Description

Dermatofibrosarcoma protuberans (DFSP) is a tumor that often rises in the skin of the trunk and the extremities. Although margins of tumors seem to be clear, tumor cells frequently invade widely into the subcutaneous tissue and the muscle through the fascia. Treatment of DFSP principally requires extended excision. If the tumor is excised incompletely, DFSP frequently recurs. Particularly recurrence rate of DFSP in the scalp is very high. Recently Mohs micrographic surgery (MMS) has been recommended for treatment of DFSP.<br>We reported a 23-year-old male who presented with a tumor of 4cm in diameter in the scalp, which was removed with a 2cm surgical margin, involving the pericranium. The skin defect was applied with an artificial dermis. After no residual tumor was confirmed by the permanent section, the defect was covered secondarily with a skin graft.<br>Although MMS is considered to be the best treatment for DFSP, it is not available in our facility yet. In our case we had selected a treatment with confirming non-residual tumor cells by the permanent sections and secondary skin grafting. We discussed the best treatment for DFSP, including MMS. [Skin Cancer (Japan) 2005; 20: 158-161]

Journal

  • Skin Cancer

    Skin Cancer 20 (2), 158-161, 2005

    The Japanese Skin Cancer Society

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