Multiple Dermatofibrosarcoma Protuberans on the Scalp Treated by Tissue Expansion and Mohs Micrographic Surgery.
- Author:
Se Yeong JEONG
1
;
Jae Bin SHIN
;
Soo Hong SEO
;
Sang Wook SON
;
Il Hwan KIM
Author Information
1. Department of Dermatology, Korea University College of Medicine, Ansan, Korea. kumcihk@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Dermatofibrosarcoma protuberans;
Mohs micrographic surgery;
Tissue expander
- MeSH:
Adult;
Dermatofibrosarcoma*;
Humans;
Mohs Surgery*;
Recurrence;
Scalp*;
Skin;
Tissue Expansion Devices;
Tissue Expansion*
- From:Korean Journal of Dermatology
2007;45(12):1270-1274
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dermatofibrosarcoma protuberance is a relatively rare malignant soft tissue tumor which is locally invasive and looks like a protruded hardened plaque composed of multiple nodules. It seldom occurs on the scalp and the occurrence rate is less than 5%. Nowadays there is a tendency to choose Mohs surgery as a primary treatment instead of a wide excision, because Mohs surgery can reduce cases of recurrence. We report a case of multiple dermatofibrosarcoma protuberans on the scalp of a 32-year-old man. We planned a delayed operation using tissue expanders. We inserted two skin expanders and successfully expanded scalp tissue more than 150% after 7 months. Mohs surgery was performed with a 4 cm distance from borderline of lesions and then the large scalp skin defect was covered by the expanded skin which had been prepared by tissue expanders. It has been 9 months since the operation was performed and there have been no signs of recurrence.
