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[Dermatofibrosarcoma protuberans treated with Mohs surgery]
Lía Salomé Abeledo1, Carla Barbini1, Gerardo Russier1
1Hospital Universitario Austral.
Summary
Dermatofibrosarcoma protuberans (DFSP) is a rare skin cancer. Mohs micrographic surgery offers advantages for DFSP treatment, including tissue preservation and low recurrence rates, as demonstrated in a clinical case.
Area of Science:
- Dermatology
- Surgical Oncology
- Oncology
Background:
- Dermatofibrosarcoma protuberans (DFSP) is a rare, slow-growing cutaneous neoplasm with a high potential for local recurrence and deep tissue infiltration.
- DFSP can clinically mimic benign skin lesions, complicating early diagnosis and treatment.
- Surgical excision is the primary treatment modality for DFSP.
Purpose of the Study:
- To evaluate the efficacy of Mohs micrographic surgery in treating dermatofibrosarcoma protuberans.
- To highlight the advantages of Mohs surgery in achieving clear margins and minimizing recurrence in DFSP cases.
Main Methods:
- A case study of a 40-year-old male patient with DFSP on the back.
- Surgical excision of DFSP using the Mohs micrographic surgery technique.
- Two-year follow-up to assess tumor recurrence.
Main Results:
- The patient treated with Mohs micrographic surgery experienced no tumor recurrence after two years of follow-up.
- Mohs surgery allowed for tissue optimization and ensured complete tumor removal with clear margins.
Conclusions:
- Mohs micrographic surgery is an effective treatment for dermatofibrosarcoma protuberans, offering superior outcomes compared to conventional surgical methods.
- The technique facilitates maximal tissue conservation while achieving high rates of complete tumor eradication and low recurrence rates for DFSP.
