Pediatric Dermatofibrosarcoma Protuberans: Surgery Outcomes

Dermatofibrosarcoma protuberans is the most common type of cutaneous sarcoma in children. We performed a single-center retrospective chart review describing the clinical characteristics and treatment outcomes of patients < 18 years old with a histologically confirmed diagnosis of DFSP. Fifteen patients were included; 60% (n = 9) were treated with Mohs micrographic surgery, 40% (n = 6) with wide local excision, and the average wound size was 60.8 cm² (SD 47.5) and 77.4 cm² (SD 64.9), respectively, with no recurrence or metastases noted in either group. Our study suggests that both types of surgery may have comparable results when their indications are performed after a multidisciplinary evaluation.