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Mohs’ micrographic surgery for dermatofibrosarcoma protuberans
Author(s) -
Roh M. R.,
Bae B.,
Chung K. Y.
Publication year - 2010
Publication title -
clinical and experimental dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.587
H-Index - 78
eISSN - 1365-2230
pISSN - 0307-6938
DOI - 10.1111/j.1365-2230.2010.03819.x
Subject(s) - dermatofibrosarcoma protuberans , medicine , dermatofibrosarcoma , mohs surgery , surgery , retrospective cohort study , wide local excision , soft tissue , dermatology
Summary 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.