Micrographic Surgery Allows Fascia Preservation in Dermatofibro-sarcoma Protuberans.
Mohs surgery
fascia
histology
micrographic surgery
dermatofibrosarcoma protuberans
Journal
Acta dermato-venereologica
ISSN: 1651-2057
Titre abrégé: Acta Derm Venereol
Pays: Sweden
ID NLM: 0370310
Informations de publication
Date de publication:
28 Sep 2021
28 Sep 2021
Historique:
pubmed:
8
9
2021
medline:
1
10
2021
entrez:
7
9
2021
Statut:
epublish
Résumé
Removal of the deep fascia is recommended in therapy for dermatofibrosarcoma protuberans, but its necessity in the context of micrographic surgery is unclear. A retrospective clinicopathological analysis of 48 patients with dermatofibrosarcoma protuberans treated by micrographic surgery was performed, to determine in which tumours fascia preservation was feasible and safe. Histologically, 93% of tumours on the trunk and extremities and 14% of tumours in the head and neck region were fully located above the fascia. Localization on the head and neck was the only significant risk factor for tumour extension beyond the subcutis (p<0.001). Overall, 44% of tumours were completely excised above the fascia and 56% with deeper excisions. Two deeply infiltrating tumours (4%) on the head recurred, but in none of these lesions was the fascia spared. These results show that micrographic surgery allows fascia preservation in superficial tumours outside the head and neck region.
Identifiants
pubmed: 34490467
doi: 10.2340/00015555-3915
pmc: PMC9425625
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
adv00561Références
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