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...

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Main Authors: Xiaobo Zhou, Di Sun, Yang Liu, Qilin Sun, Zhaoqi Yuan, Xusong Luo, Jun Yang, Jun Chen
Format: Article
Language:English
Published: Taylor & Francis Group 2020-08-01
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.
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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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