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Publication Type
Journal Article
Author, Analytic
Arscott, Guyan; Venugopal, R.
Author Affiliation, Ana.
Department of Surgery, Radiology, Anaesthesia and Intensive Care
Article Title
The Challenge of Managing Dermatofibrosarcoma Protuberans [Abstract]
Medium Designator
n/a
Connective Phrase
n/a
Journal Title
West Indian Medical Journal
Translated Title
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Reprint Status
n/a
Date of Publication
2003
Volume ID
52
Issue ID
Suppl. 5
Page(s)
21
Language
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Connective Phrase
n/a
Location/URL
n/a
ISSN
0043-3144
Notes
n/a
Abstract
Introduction: The Plastic Surgery services at the University Hospital of the West Indies and the Kingston Regional Hospital have been playing a major role in the management of soft tissue tumors. The incidence of dermatofibrosarcoma protuberans, in particular, appears to be increasing. The major challenges in the management of dermatofibrosarcoma relates to the remarkable recurrence rates. Some controversy exists with regards to surgical approach, histopathology and the use of adjuvant therapy. Conclusion: Dermatofibrosarcoma protuberans is an uncommon soft tissue tumor with a prohibitively high recurrence rate following surgical treatment. Recurrence occurs even with histologically confirmed clear margins. The importance of the surgical approach of the primary operation needs to be stressed. Adjuvant radiotherapy was controversial but is being more widely used. Though essentially a benign tumor, matastatic disease has been reported in about 1-4% of cases with multiple episodes of recurrence.....
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