Nodular Fasciitis Complicating a Staged Surgical Excision of Dermatofibrosarcoma Protuberans
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...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Dermatological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/6074182 |
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| author | C. Helen Malone Brandon Goodwin Richard F. Wagner Vicente Resto Brent Kelly |
| author_facet | C. Helen Malone Brandon Goodwin Richard F. Wagner Vicente Resto Brent Kelly |
| author_sort | C. Helen Malone |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-b9898e6041714d8694bab69c811cc2bd |
| institution | Kabale University |
| issn | 2090-6463 2090-6471 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dermatological Medicine |
| spelling | doaj-art-b9898e6041714d8694bab69c811cc2bd2025-02-03T05:59:13ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712016-01-01201610.1155/2016/60741826074182Nodular Fasciitis Complicating a Staged Surgical Excision of Dermatofibrosarcoma ProtuberansC. Helen Malone0Brandon Goodwin1Richard F. Wagner2Vicente Resto3Brent Kelly4Department of Dermatology, The University of Texas Medical Branch, Galveston, TX 77555, USADepartment of Dermatology, The University of Texas Medical Branch, Galveston, TX 77555, USADepartment of Dermatology, The University of Texas Medical Branch, Galveston, TX 77555, USADepartment of Otolaryngology, The University of Texas Medical Branch, Galveston, TX 77555, USADepartment of Dermatology, The University of Texas Medical Branch, Galveston, TX 77555, USADermatofibrosarcoma 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.http://dx.doi.org/10.1155/2016/6074182 |
| spellingShingle | C. Helen Malone Brandon Goodwin Richard F. Wagner Vicente Resto Brent Kelly Nodular Fasciitis Complicating a Staged Surgical Excision of Dermatofibrosarcoma Protuberans Case Reports in Dermatological Medicine |
| title | Nodular Fasciitis Complicating a Staged Surgical Excision of Dermatofibrosarcoma Protuberans |
| title_full | Nodular Fasciitis Complicating a Staged Surgical Excision of Dermatofibrosarcoma Protuberans |
| title_fullStr | Nodular Fasciitis Complicating a Staged Surgical Excision of Dermatofibrosarcoma Protuberans |
| title_full_unstemmed | Nodular Fasciitis Complicating a Staged Surgical Excision of Dermatofibrosarcoma Protuberans |
| title_short | Nodular Fasciitis Complicating a Staged Surgical Excision of Dermatofibrosarcoma Protuberans |
| title_sort | nodular fasciitis complicating a staged surgical excision of dermatofibrosarcoma protuberans |
| url | http://dx.doi.org/10.1155/2016/6074182 |
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