Work

Nodular Fasciitis Complicating a Staged Surgical Excision of Dermatofibrosarcoma Protuberans

Year: 2016

Type: article

Abstract: Dermatofibrosarcoma protuberans (DFSP) is an unusual spindle cell tumor with a high rate of local recurrence with traditional excision. Fortunately, Mohs micrographic surgery yields excellent cure rates for this neoplasm due to contiguous tumor spread and meticulous tumor mapping and margin analysis. We present the unique case of a patient treated with a modified Mohs technique with an analysis of the final margin with permanent sections, who developed a spindle cell neoplasm in the margins of her second stage excision consistent with nodular fasciitis. Distinguishing residual DFSP from a benign reactive process was an essential and challenging component of this patient's management.

Source: Case Reports in Dermatological Medicine

DOI: 10.1155/2016/6074182

Authors: C. Helen Malone, Brandon Goodwin, Richard F. Wagner, Vicente Resto, Brent Kelly

Institution: The University of Texas Medical Branch at Galveston

Language: English

Topic: Soft tissue tumor case studies

Subfield: Rheumatology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $790