Arscott, Guyan; Venugopal, R.
Author Affiliation, Ana.
Department of Surgery, Radiology, Anaesthesia and Intensive Care
The Challenge of Managing Dermatofibrosarcoma Protuberans [Abstract]
West Indian Medical Journal
Date of Publication
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.....