Dermatofibrosarcoma protuberans: our 10-year experience on 80 patients
Background: Dermatofibrosarcoma protuberans (DFSP) is a rare soft tissue sarcoma. Its high recurrence rate is a clinical challenge. Objective: To analyze DFSP clinicopathologic factors and review our experience of treatments. Materials and methods: A total of 80 patients who were treated between 200...
Main Authors: | , , , , , , , |
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Format: | Article |
Language: | English |
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Taylor & Francis Group
2020-08-01
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Series: | Journal of Dermatological Treatment |
Subjects: | |
Online Access: | http://dx.doi.org/10.1080/09546634.2019.1622629 |
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author | Xiaobo Zhou Di Sun Yang Liu Qilin Sun Zhaoqi Yuan Xusong Luo Jun Yang Jun Chen |
author_facet | Xiaobo Zhou Di Sun Yang Liu Qilin Sun Zhaoqi Yuan Xusong Luo Jun Yang Jun Chen |
author_sort | Xiaobo Zhou |
collection | DOAJ |
description | Background: Dermatofibrosarcoma protuberans (DFSP) is a rare soft tissue sarcoma. Its high recurrence rate is a clinical challenge. Objective: To analyze DFSP clinicopathologic factors and review our experience of treatments. Materials and methods: A total of 80 patients who were treated between 2007 and 2017 in Shanghai Ninth People’s Hospital were evaluated. Outcomes were compared focusing on recurrence following different treatment methods. Classical DFSP and transformed DFSP were classified as the two subtypes. Results: The recurrence rate after local excision was significantly higher than that after wide margin excision. Patients undergoing wide margin excision (margins over 3 cm) were found to have lower recurrence rate compared with those margins less than 3 cm, while 10 underwent Mohs surgery were not found recurrence. Transformed DFSP had a greater tendency to recur. Conclusions: Clean margin of excision should be achieved to prevent recurrence of DFSP. Slow Mohs surgery is recommended to treat DFSP. |
first_indexed | 2024-03-12T00:18:24Z |
format | Article |
id | doaj.art-b4310198272b4a05a57a72bf7511b60e |
institution | Directory Open Access Journal |
issn | 0954-6634 1471-1753 |
language | English |
last_indexed | 2024-03-12T00:18:24Z |
publishDate | 2020-08-01 |
publisher | Taylor & Francis Group |
record_format | Article |
series | Journal of Dermatological Treatment |
spelling | doaj.art-b4310198272b4a05a57a72bf7511b60e2023-09-15T14:23:02ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532020-08-0131655455810.1080/09546634.2019.16226291622629Dermatofibrosarcoma protuberans: our 10-year experience on 80 patientsXiaobo Zhou0Di Sun1Yang Liu2Qilin Sun3Zhaoqi Yuan4Xusong Luo5Jun Yang6Jun Chen7JiaoTong University China Hospital Development InstituteJiaoTong University China Hospital Development InstituteCenter for Specialty Strategy Research of Shanghai JiaoTong University China Hospital Development InstituteCenter for Specialty Strategy Research of Shanghai JiaoTong University China Hospital Development InstituteJiaoTong University China Hospital Development InstituteJiaoTong University China Hospital Development InstituteJiaoTong University China Hospital Development InstituteCenter for Specialty Strategy Research of Shanghai JiaoTong University China Hospital Development InstituteBackground: Dermatofibrosarcoma protuberans (DFSP) is a rare soft tissue sarcoma. Its high recurrence rate is a clinical challenge. Objective: To analyze DFSP clinicopathologic factors and review our experience of treatments. Materials and methods: A total of 80 patients who were treated between 2007 and 2017 in Shanghai Ninth People’s Hospital were evaluated. Outcomes were compared focusing on recurrence following different treatment methods. Classical DFSP and transformed DFSP were classified as the two subtypes. Results: The recurrence rate after local excision was significantly higher than that after wide margin excision. Patients undergoing wide margin excision (margins over 3 cm) were found to have lower recurrence rate compared with those margins less than 3 cm, while 10 underwent Mohs surgery were not found recurrence. Transformed DFSP had a greater tendency to recur. Conclusions: Clean margin of excision should be achieved to prevent recurrence of DFSP. Slow Mohs surgery is recommended to treat DFSP.http://dx.doi.org/10.1080/09546634.2019.1622629dfspskin cancerdermatological surgery |
spellingShingle | Xiaobo Zhou Di Sun Yang Liu Qilin Sun Zhaoqi Yuan Xusong Luo Jun Yang Jun Chen Dermatofibrosarcoma protuberans: our 10-year experience on 80 patients Journal of Dermatological Treatment dfsp skin cancer dermatological surgery |
title | Dermatofibrosarcoma protuberans: our 10-year experience on 80 patients |
title_full | Dermatofibrosarcoma protuberans: our 10-year experience on 80 patients |
title_fullStr | Dermatofibrosarcoma protuberans: our 10-year experience on 80 patients |
title_full_unstemmed | Dermatofibrosarcoma protuberans: our 10-year experience on 80 patients |
title_short | Dermatofibrosarcoma protuberans: our 10-year experience on 80 patients |
title_sort | dermatofibrosarcoma protuberans our 10 year experience on 80 patients |
topic | dfsp skin cancer dermatological surgery |
url | http://dx.doi.org/10.1080/09546634.2019.1622629 |
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