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Mohs Micrographic Surgery and Dermatofibrosarcoma Protuberans: A Multidisciplinary Approach in 44 Patients. Annals of plastic surgery [Ann Plast Surg] Journal article

 
TitleMohs Micrographic Surgery and Dermatofibrosarcoma Protuberans: A Multidisciplinary Approach in 44 Patients.
Author(s)Nelson RA, Arlette JP 
InstitutionFrom the *Division of Plastic Surgery, Dalhousie University, Halifax, NS, Canada; and †Department of Oncology, University of Calgary, Calgary, AB, Canada.
SourceAnn Plast Surg 2008 Jun; 60(6):667-672.
AbstractDermatofibrosarcoma protuberans (DFSP) is a rare soft tissue tumor with a high recurrence rate. The goal of this study was to review patients with DFSP treated by Mohs micrographic surgery (MMS) and to compare demographics and recurrence rates with cases in the literature treated by standard excision methods. Medical charts were used to evaluate patient and tumor characteristics, number of stages for tumor clearance, reconstructive methods used, and recurrence rate after MMS. Data were compared with published recurrence rates in the literature. Our results indicate that there were no recurrences in 44 of 44 patients with DFSP resected by MMS after a mean follow-up of 3.3 years. This compares with recurrence rates in the literature of 10% to 60% using standard excision methods. We conclude that MMS provides recurrence-free treatment of DFSP tumors and promotes a collaborative approach between dermatologic and plastic surgeons.
LanguageENG
Pub Type(s)JOURNAL ARTICLE
PubMed ID18520205
  
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