Year: 2015
Type: article
Study design: Case Report
Abstract: Background: Dermatofibrosarcoma protuberans (DFSP) is a rare soft tissue tumor that may affect the trunk, proximal extremities and less frequently the scalp.Methods: A 25-year-old Hispanic male presented with a large recurrent left sided scalp lesion.A wide margin soft tissue resection was done followed by craniectomy and allograft cranioplasty with deep margin resection and autologous duraplasty.Skull reconstruction was done.The scalp defect was closed by a serratus anterior myofascial free flap and a split thickness graft from the thigh.Results: Over a 5-year follow up period, there was no evidence of local recurrence, distant spread, infections or neurological deficit.The only visible effect noted was alopecia at the surgical site.Conclusions: A single-stage complex surgical excision and reconstruction may represent the safest and most effective option in the management of recurrent scalp DFSP with improved outcomes including minimal morbidity and prolonged recurrence free survival or cure.
Source: Journal of Surgery
Language: English
Subfield: Oncology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4239674986