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KMID : 0363220070450121270
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Korean Journal of Dermatology
2007 Volume.45 No. 12 p.1270 ~ p.1274
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Multiple Dermatofibrosarcoma Protuberans on the Scalp Treated by Tissue Expansion and Mohs Micrographic Surgery
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Jeong Se-Yeong
Son Sang-Wook
Seo Soo-Hong
Kim Il-Hwan
Shin Jae-Bin
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Abstract
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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.
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KEYWORD
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Dermatofibrosarcoma protuberans, Mohs micrographic surgery, Tissue expander
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