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Dermatofibrosarcoma protuberans: Role of wide local excision
Raashid Hamid1, Aadil Hafeez1, Ashraf M Darzi1
1Department of Plastic Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.
South Asian Journal of Cancer
|January 24, 2014
Summary
Surgical treatment of dermatofibrosarcoma protuberans (DFSP) requires wide local excision with adequate margins to minimize recurrence. Achieving complete resection is crucial for long-term patient outcomes.
Area of Science:
- Dermatology
- Surgical Oncology
Background:
- Dermatofibrosarcoma protuberans (DFSP) is a rare, locally aggressive skin cancer.
- Effective surgical management is key to preventing recurrence and metastasis.
Purpose of the Study:
- To evaluate the outcomes of surgical treatment for dermatofibrosarcoma protuberans.
- To identify factors influencing recurrence rates and patient prognosis.
Main Methods:
- A retrospective and prospective study of 45 patients with DFSP treated between December 1995 and December 2010.
- All patients underwent wide local excision, with margin status assessed histologically.
Main Results:
- The overall recurrence rate was 22.22%, with 10 patients experiencing local recurrences.
- Positive surgical margins were observed in 8 patients, correlating with higher recurrence risk.
- Only 2 patients developed distant metastasis (lung).
Conclusions:
- Adequate local excision with a 3-cm margin and deep fascia removal is essential for DFSP treatment.
- Compromised surgical margins significantly increase the risk of local recurrence.
- Salvage re-excision is effective for managing recurrent DFSP.
