Treatment of dermatofibrosarcoma protuberans with mohs micrographic surgery

• Published in: Annals of surgery Vol. 207; no. 1; pp. 102 - 107
• Main Authors: HOBBS, E. R, WHEELAND, R. G, BAILIN, P. L, RATZ, J. L, YETMAN, R. J, ZINS, J. E
• Format: Journal Article
• Language: English
• Published: Hagerstown, MD Lippincott 1988
• Subjects: Adolescent; Adult; Aged; Biological and medical sciences; Child, Preschool; Dermatology; Fibrosarcoma - pathology; Fibrosarcoma - surgery; Follow-Up Studies; Humans; Male; Medical sciences; Methods; Neoplasm Recurrence, Local - prevention & control; Skin Neoplasms - pathology; Skin Neoplasms - surgery; Skin plastic surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgical Flaps; Time Factors; Tumors of the skin and soft tissue. Premalignant lesions; Plastic surgery; Tumor; Dermatofibrosarcoma protuberous; Skin disease; Skin; Chemosurgery
• ISSN: 0003-4932; 1528-1140
• DOI: 10.1097/00000658-198801000-00019

Ten patients with dermatofibrosarcoma protuberans, all of whom had been treated previously by conventional excisional surgery without success, were treated with Mohs micrographic surgery. A team approach utilizing margin control by Mohs-trained physicians and reconstruction by surgical specialists was employed. Average follow-up exceeds 3 1/2 years, with no recurrences. Microscopically controlled excision appears to be the treatment of choice for dermatofibrosarcoma protuberans.