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Updated: May 31, 2026
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Anterior High-Resolution Optical Coherence Tomography in the Diagnosis and Therapeutic Monitoring of Ocular Surface Squamous Neoplasia
Published on: August 9, 2024
[Mohs micrographic surgery in two children with dermatofibrosarcoma protuberans]
1Service de dermatologie, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-colonel Prud'hon, 95107 Argenteuil cedex, France. emmanuel.mahe@ch-argenteuil.fr
Summary
Mohs micrographic surgery (MMS) effectively treats pediatric dermatofibrosarcoma, reducing necessary surgical margins and skin removal. This technique offers a valuable option for childhood skin tumors.
Area of Science:
- Dermatology
- Surgical Oncology
Background:
- Dermatofibrosarcoma protuberans (DFSP) is a rare, low-grade malignant skin tumor.
- Standard surgical excision requires wide margins (3-5 cm) due to its pseudopodia-like invasive structures.
Observation:
- Mohs micrographic surgery (MMS) significantly reduces required surgical margins to approximately 1.3 cm.
- MMS allows for complete histological margin control during tumor excision.
- Pediatric patients benefit from MMS due to minimized skin tissue removal.
Findings:
- Two pediatric cases of DFSP in girls aged 12 and 13 were successfully treated with MMS.
- Tumors were located on the breast and sternum, requiring one operative session with subsequent direct closure.
- MMS proved effective in achieving complete tumor removal with clear margins.
Implications:
- MMS is a highly useful surgical technique for managing childhood skin tumors, particularly DFSP.
- The reduced tissue excision in pediatric patients makes MMS a favorable approach.
- This technique holds potential benefits for other types of pediatric skin malignancies.
