Multispecialty approach to complex dermatofibrosarcoma protuberans of the forehead.
We describe a 38-year-old woman with extensive dermatofibrosarcoma protuberans of the forehead and discuss the advantages of using a multispecialty approach in the treatment of this case. The patient had had an incomplete resection 15 years previously, with a misdiagnosis of the actual tumor type. After undergoing a biopsy and a computed tomographic scan, the patient underwent Mohs micrographic surgery, followed by split-thickness grafting. Ultimate reconstruction was performed 15 months later using bilateral temporoparietal fascial flaps, in addition to split-thickness grafting. The patient remains tumor-free 3 years after resection.
Haas
A F
AF
Department of Dermatology, University of California, Davis, Sacramento 95817, USA.
Sykes
J M
JM
D000328:Adult; D018223:Dermatofibrosarcoma / Q000473:pathology / Q000601:surgery*; D005153:Facial Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D005546:Forehead; D006801:Humans; D015580:Mohs Surgery; D018365:Neoplasm, Residual; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*; D016038:Skin Transplantation