Mohs' micrographic surgery for dermatofibrosarcoma protuberans

被引:21
作者
Roh, M. R. [2 ]
Bae, B. [2 ]
Chung, K. Y. [1 ]
机构
[1] Yonsei Univ, Coll Med, Dept Dermatol, Brain Korea Project Med Sci 21, Seoul 120752, South Korea
[2] Yonsei Univ, Coll Med, Cutaneous Biol Res Inst, Seoul 120752, South Korea
关键词
SURGICAL MARGINS; CHEMOSURGERY; EXCISION; CANCER;
D O I
10.1111/j.1365-2230.2010.03819.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Background. Dermatofibrosarcoma protuberans (DFSP) is a rare soft-tissue tumour with a high local recurrence rate. Recent reports indicate more favourable cure rates with Mohs' micrographic surgery (MMS). Aim. To investigate the beneficial use of MMS for DFSP in a single institution in Korea. Methods. A retrospective review was performed of pertinent demographic data, tumour data, treatment characteristics and follow-up data of 11 patients between 1997 and 2007. A review of literature for treatment methods and recurrence rates of DFSP was also performed. Results. In total, 11 patients (7 female, 4 male; mean age 26.9 years, range 3-36) with DFSP were identified and analysed. A mean number of 1.8 MMS layers were required to clear the tumour. All tumours were excised and reconstructed by the surgeon. There were no identifiable recurrences in the follow-up period of an average of 26 months. Conclusions. Treatment of primary and recurrent DFSP by MMS results in a low recurrence rate with possible benefits of smaller defects compared with wide local excision. This study provides further support for MMS as the treatment of choice for DFSP.
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页码:849 / 852
页数:4
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