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Anterior High-Resolution Optical Coherence Tomography in the Diagnosis and Therapeutic Monitoring of Ocular Surface Squamous Neoplasia

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Published on: August 9, 2024

[Dermatofibrosarcoma protuberance].

Gudjon Leifur Gunnarsson¹, Dorthe Mikkelsen, Carsten Sauer Mikkelsen

¹Plastikkirurgisk Afdeling, Odense Universitetshospital, DK-5000 Odense. gudjonleifur@yahoo.com

Ugeskrift for Laeger

|October 9, 2009

Summary

This summary is machine-generated.

A rare forehead subdermal dermatofibrosarcoma was successfully treated with wide surgical excision and immediate reconstruction. Intraoperative tissue expansion significantly aided defect closure, highlighting its benefit in complex cases.

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Area of Science:

Dermatologic Surgery
Surgical Oncology
Plastic and Reconstructive Surgery

Background:

Dermatofibrosarcoma protuberans (DFSP) is a rare, locally aggressive skin cancer.
Subdermal presentation of DFSP can pose diagnostic and surgical challenges.
Effective management requires complete tumor removal with adequate margins.

Observation:

A 33-year-old Caucasian presented with an asymptomatic subdermal dermatofibrosarcoma protuberance on the forehead.
The lesion was treated with surgical excision achieving a 3 cm margin.
Immediate reconstruction involved intraoperative tissue expansion and full-thickness skin grafting.

Findings:

Pathological evaluation confirmed the diagnosis of dermatofibrosarcoma protuberans.
Intraoperative tissue expansion reduced the surgical defect by 50%.
Successful reconstruction was achieved with full-thickness skin transplantation.

Implications:

Emphasizes the critical role of pathological assessment for all resected tissues.
Demonstrates the utility of intraoperative tissue expansion in managing large forehead defects.
Supports a multidisciplinary approach for optimal outcomes in rare soft tissue tumors.