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KMID : 0364020100430060790
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Korean Journal of Thoracic and Cardiovascular Surgery
2010 Volume.43 No. 6 p.790 ~ p.792
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Surgical Treatment of Dermatofibrosarcoma Protuberans of the Chest Wall
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Cho Hyun-Min
Kim Young-Jin
Lee Tae-Yeon
Lee Chan-Kyu
Seok June-Pill
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Abstract
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A 77-year-old man presented with a huge protruding mass on the left anterior chest wall. The tumor was resected and diagnosed as dermatofibrosarcoma protuberans (DFSP). DFSP is an uncommon, intermediate-grade mesenchymal cutaneous tumor which extends deep into subcutaneous tissue and may invade through the fascial planes and into muscle but rarely metastasize. Histologically, DFSP is composed of spindle cells arranged in an irregularly whorled or storiform pattern. The histological diagnosis can be confirmed with immunohistochemical staining for CD34. We report a case of DFSP. The tumor was completely excised and the chest wall was reconstructed using latissimus dorsi muscle flap and skin graft.
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KEYWORD
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Chest wall, Neoplasm
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