Limits...
Report of two cases of recurrent scalp dermatofibrosarcoma protuberans and literature review.

Liansheng L, Xialiang L, Yaodong Z, Yajun X, Meiqing L - Indian J Dermatol (2014)

Bottom Line: We gave her another operation, but only 3 months later local recurrence appeared.For the both cases, we collected their case histories, intraoperative findings, pathologic detections, and follow-up results, all of which may help the dermatologists to extend knowledge about this rare disease.Moreover, an exhaustive review of the literature is included with emphasis on diagnosis, different diagnosis and treatments.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, 98th Hospital of People's Liberation Army of China, Huzhou district, Zhejiang province, China.

ABSTRACT
Dermatofibrosarcoma protuberans (DFSP) are rare malignant skin tumor, and scalp DFSP is even lesser than 5% of all DFSP, therefore, being seldom reported. We recently treated two cases of recurrent scalp DFSPs. One was a 38-year-old male, who accept lumpectomy for the first time; however, it recurred 9 months later. We then performed a wide excision resulting in no recurrence in the subsequent 4 years. Another patient was a 26-year-old female, who accept an in situ tumorectomy for the first time, and 2 years later; the recurrent mass became 9 × 9 cm in size. We gave her another operation, but only 3 months later local recurrence appeared. For the both cases, we collected their case histories, intraoperative findings, pathologic detections, and follow-up results, all of which may help the dermatologists to extend knowledge about this rare disease. Moreover, an exhaustive review of the literature is included with emphasis on diagnosis, different diagnosis and treatments.

No MeSH data available.


Related in: MedlinePlus

Magnetic resonance imaging shows a left temporal extracranial space-occupying lesion (red arrow) with T1 low signal (a) and T2 high signal (b)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4248501&req=5

Figure 1: Magnetic resonance imaging shows a left temporal extracranial space-occupying lesion (red arrow) with T1 low signal (a) and T2 high signal (b)

Mentions: A 38-year-old male with a painless mass (about 4 × 3 cm) in left temporal scalp accept lumpectomy when the first admission; however, 9 months later he found the recurrence of the mass. At the second admission, the tumor mass was about 1 cm in diameter at the original location. The head magnetic resonance imaging (MRI) showed no intracranial or cranioaural infiltration [Figure 1a and b]; the tumor was retreated by wide excision with 3 cm margins, and the local skin, subcutaneous tissue, epicranial aponeurosis and skin periosteum were removed together. Partial temporal muscle was also excised [Figure 2a]. The skin defect was closed with a split-thickness skin graft [Figure 2b]. Pathological examination confirmed the diagnosis of DFSP, with positive expression of CD34 and Vimentin [Figure 3a–c]. The patient has been free of tumor for 4 years [Figure 4].


Report of two cases of recurrent scalp dermatofibrosarcoma protuberans and literature review.

Liansheng L, Xialiang L, Yaodong Z, Yajun X, Meiqing L - Indian J Dermatol (2014)

Magnetic resonance imaging shows a left temporal extracranial space-occupying lesion (red arrow) with T1 low signal (a) and T2 high signal (b)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4248501&req=5

Figure 1: Magnetic resonance imaging shows a left temporal extracranial space-occupying lesion (red arrow) with T1 low signal (a) and T2 high signal (b)
Mentions: A 38-year-old male with a painless mass (about 4 × 3 cm) in left temporal scalp accept lumpectomy when the first admission; however, 9 months later he found the recurrence of the mass. At the second admission, the tumor mass was about 1 cm in diameter at the original location. The head magnetic resonance imaging (MRI) showed no intracranial or cranioaural infiltration [Figure 1a and b]; the tumor was retreated by wide excision with 3 cm margins, and the local skin, subcutaneous tissue, epicranial aponeurosis and skin periosteum were removed together. Partial temporal muscle was also excised [Figure 2a]. The skin defect was closed with a split-thickness skin graft [Figure 2b]. Pathological examination confirmed the diagnosis of DFSP, with positive expression of CD34 and Vimentin [Figure 3a–c]. The patient has been free of tumor for 4 years [Figure 4].

Bottom Line: We gave her another operation, but only 3 months later local recurrence appeared.For the both cases, we collected their case histories, intraoperative findings, pathologic detections, and follow-up results, all of which may help the dermatologists to extend knowledge about this rare disease.Moreover, an exhaustive review of the literature is included with emphasis on diagnosis, different diagnosis and treatments.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, 98th Hospital of People's Liberation Army of China, Huzhou district, Zhejiang province, China.

ABSTRACT
Dermatofibrosarcoma protuberans (DFSP) are rare malignant skin tumor, and scalp DFSP is even lesser than 5% of all DFSP, therefore, being seldom reported. We recently treated two cases of recurrent scalp DFSPs. One was a 38-year-old male, who accept lumpectomy for the first time; however, it recurred 9 months later. We then performed a wide excision resulting in no recurrence in the subsequent 4 years. Another patient was a 26-year-old female, who accept an in situ tumorectomy for the first time, and 2 years later; the recurrent mass became 9 × 9 cm in size. We gave her another operation, but only 3 months later local recurrence appeared. For the both cases, we collected their case histories, intraoperative findings, pathologic detections, and follow-up results, all of which may help the dermatologists to extend knowledge about this rare disease. Moreover, an exhaustive review of the literature is included with emphasis on diagnosis, different diagnosis and treatments.

No MeSH data available.


Related in: MedlinePlus