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KMID : 0613320000060010017
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Journal of the Korean Bone and Joint Tumor Soceity
2000 Volume.6 No. 1 p.17 ~ p.21
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Dermatofibrosarcoma Protuberans ; Treatment and Prognosis
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Lee Soo-Yong
Jeon Dae-Geun
Lee Jong-Seok
Kim Sug-Jun
Park Jong-Hoon
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Abstract
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Purpose : Dermatofibrosarcoma protuberans(DFSP) is a rare tumor of the skin with a strong tendency of infiltration to surrounding tissues. Inadequate surgical tervention brings about frequent recurrence and poor prognosis. We attempted to find a guideline for adequate treatment for DFSP.
Materials and Methods : Fourteen cases who had been treated in our department since Mar. 1993 and followed up for more than 12 months postoperatively were reviewed. Including nine cases who were transferred from other hospital after recurrence, thirteen cases underwent wide resection. One case was treated by intralesional esection followed by chemotherapy (CYVADIC) due to neurovascular abutment to the mass in the inguinal area.
Results : The nine cases who were transferred due to recurrences experienced recurrence in average 1.3(1-2) times and the average period until first local recurrence from primary operation was 11.8(2-24) months. The thirteen cases with wide surgical margin showed no recurrence at the final follow up. One case treated by intralesional resection and chemotherapy showed multiple recurrence and died of the disease due to lung metastasis.
Conclusions : From these data, we could find that primary wide resection can be the way of reducing recurrence and metastasis, and the follow up period for the detection of recurrence should be at least two years.
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KEYWORD
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Dermatofibrosarcoma protuberans, Wide resection
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