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Skin Cancer

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Pediatric Dermatofibrosarcoma Protuberans: Surgery Outcomes.

Marie-Chantal Caussade¹, Charles Y Huang¹, Griffin Stockton Hogrogian¹

¹Section of Dermatology, Children's Hospital, Philadelphia, Pennsylvania, USA.

Pediatric Dermatology

|April 20, 2025

Summary

This summary is machine-generated.

Dermatofibrosarcoma protuberans (DFSP) in children is effectively treated by Mohs surgery or wide local excision. Both surgical methods showed comparable outcomes with no recurrences in this pediatric study.

Keywords:

dermatofibrosarcoma neoplasm pediatrics surgery surgical oncology

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Area of Science:

Dermatology
Pediatric Oncology
Surgical Oncology

Background:

Dermatofibrosarcoma protuberans (DFSP) is the most common cutaneous sarcoma in pediatric patients.
Optimal surgical management for pediatric DFSP requires further investigation.

Purpose of the Study:

To describe the clinical characteristics and treatment outcomes of pediatric patients diagnosed with DFSP.
To compare the efficacy of Mohs micrographic surgery versus wide local excision for pediatric DFSP.

Main Methods:

Single-center retrospective chart review of patients under 18 years old with histologically confirmed DFSP.
Analysis of treatment modalities including Mohs micrographic surgery and wide local excision.
Evaluation of recurrence and metastasis rates based on surgical approach.

Main Results:

Fifteen pediatric patients with DFSP were included in the study.
Sixty percent (n=9) underwent Mohs micrographic surgery, and 40% (n=6) had wide local excision.
No recurrences or metastases were observed in either treatment group, despite varying average wound sizes.

Conclusions:

Both Mohs micrographic surgery and wide local excision appear to yield comparable outcomes for pediatric DFSP.
Multidisciplinary evaluation is crucial for determining appropriate surgical indications in pediatric DFSP cases.