Tomoki Nakamura1, Akira Kawai2, Kunihiro Asanuma3, Tomohito Hagi3, Akihiro Sudo3. 1. Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Japan; tomoki66@clin.medic.mie-u.ac.jp. 2. Department of Musculoskeletal Oncology, National Cancer Center Hospital, Tokyo, Japan. 3. Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Japan.
Abstract
BACKGROUND: Owing to its rarity, dermatofibrosarcoma protuberance (DFSP) is often inappropriately excised. After unplanned excision (UE), additional excision is commonly performed. We aimed to elucidate the effect of additional excision after UE. PATIENTS AND METHODS: We examined 306 patients with primary DFSP. We analyzed surgical outcomes in 291 patients who received planned excision (PE) or additional excision after UE. RESULTS: Of 306 patients, 194 received PE and the remaining 112 received UE. Of 112 patients, 97 received additional excision after UE. Additional surgery due to complications was more frequent in patients with UE than in those with PE. The 5-year local recurrence-free rate in patients without additional excision after UE was significantly worse than that in those with additional excision after UE. CONCLUSION: If UE is performed, we recommend additional excision for preventing local recurrence; however, the surgical wound should be carefully observed. Copyright
BACKGROUND: Owing to its rarity, dermatofibrosarcoma protuberance (DFSP) is often inappropriately excised. After unplanned excision (UE), additional excision is commonly performed. We aimed to elucidate the effect of additional excision after UE. PATIENTS AND METHODS: We examined 306 patients with primary DFSP. We analyzed surgical outcomes in 291 patients who received planned excision (PE) or additional excision after UE. RESULTS: Of 306 patients, 194 received PE and the remaining 112 received UE. Of 112 patients, 97 received additional excision after UE. Additional surgery due to complications was more frequent in patients with UE than in those with PE. The 5-year local recurrence-free rate in patients without additional excision after UE was significantly worse than that in those with additional excision after UE. CONCLUSION: If UE is performed, we recommend additional excision for preventing local recurrence; however, the surgical wound should be carefully observed. Copyright
Authors: Beatriz Llombart; Carlos Monteagudo; Onofre Sanmartín; José Antonio López-Guerrero; Carlos Serra-Guillén; Andrés Poveda; Esperanza Jorda; Antonio Fernandez-Serra; Antonio Pellín; Carlos Guillén; Antonio Llombart-Bosch Journal: J Am Acad Dermatol Date: 2011-05-12 Impact factor: 11.527
Authors: André S Molina; João P Duprat Neto; Eduardo Bertolli; Isabela W da Cunha; José H T G Fregnani; Pedro H M Figueiredo; Fernando A Soares; Mariana P Macedo; Clovis A Pinto Lopes; Ivan D de Abranches Oliveira Santos Filho Journal: J Surg Oncol Date: 2018-03-06 Impact factor: 3.454
Authors: Marta Valdivielso-Ramos; Antonio Torrelo; Minia Campos; Marta Feito; Reyes Gamo; Jose Luis Rodriguez-Peralto Journal: Pediatr Dermatol Date: 2014 Nov-Dec Impact factor: 1.588
Authors: Mark E Puhaindran; Jeffrey Pratt; Mark W Manoso; John H Healey; Douglas N Mintz; Edward A Athanasian Journal: J Hand Surg Am Date: 2010-09 Impact factor: 2.230
Authors: Eva A Huis In 't Veld; Frits van Coevorden; Dirk J Grünhagen; Myles J Smith; Alexander C J van Akkooi; Michel W J M Wouters; Andrew J Hayes; Cornelis Verhoef; Dirk C Strauss; Winan J van Houdt Journal: Cancer Date: 2019-01-15 Impact factor: 6.860