“Deep” vertical Mohs and closure with a tumor-free flap for dermatofibrosarcoma protuberans: A case report

Dermatofibrosarcoma protuberans is an uncommon low-grade malignant tumor that can invade locally and rarely metastasize. Dermatofibrosarcoma protuberans has a high rate of local recurrence due to incomplete excision, especially in deep tissues. Morbidity is often related to multiple local recurrence...

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Bibliographic Details
Published inSAGE open medical case reports Vol. 7; p. 2050313X19847785
Main Authors John, Ann M, Francisco, Gina, Srivastava, Radhika, Bhatti, Hamza, Rao, Babar K
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.04.2019
Sage Publications Ltd
SAGE Publishing
Subjects
Case reports
JCMS Case Report
Microsurgery
Surgical techniques
Tumors
Mohs micrographic surgery
flap
Dermatofibrosarcoma protuberans
dermatologic surgery
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Summary:Dermatofibrosarcoma protuberans is an uncommon low-grade malignant tumor that can invade locally and rarely metastasize. Dermatofibrosarcoma protuberans has a high rate of local recurrence due to incomplete excision, especially in deep tissues. Morbidity is often related to multiple local recurrences and removal of excessive tissue with large, complex repairs. We present a case of incompletely excised dermatofibrosarcoma protuberans after initial wide local excision. We subsequently employed a “deep” vertical Mohs micrographic surgical technique to remove the remaining tumor while creating a flap with the tumor-free superficial portion to preserve tissue and avoid a complicated repair. The patient is tumor-free for 7 years.
ISSN:2050-313X
2050-313X
DOI:10.1177/2050313X19847785