title: Intracranial recurrence of the scalp dermatofibrosarcoma.
abstract: We report a case of recurrent scalp dermatofibrosarcoma in a 30-year-old woman who underwent surgical intervention on three separate occasions during a 60-month period, and who received post-operative radiotherapy. A small, hard, elastic mass on the right parieto-occipital scalp was initially treated by simple resection in another clinic. Despite surgical intervention and radiotherapy, a recurrent tumor associated with infiltration to the calvarium was detected. The patient was then referred to our institution and a wide resection performed. Two years later, however, the patient was readmitted to our institution as a result of tumor recurrence with intracranial involvement. Scalp dermatofibrosarcoma is an uncommon but aggressive scalp tumor; therefore, wide local excision with good margins is essential to decrease the risk of regional recurrence. Close surveillance in these cases is necessary due to late tumor recurrences.
authors.affiliation: Department of Neurosurgery, College of Medicine, Korea University, Seoul, Republic of Korea.
authors.forename: Sang-Dae
authors.initials: SD
authors.lastname: Kim
authors.forename: Jung-Yul
authors.initials: JY
authors.lastname: Park
authors.forename: Won-Seok
authors.initials: WS
authors.lastname: Choi
authors.forename: Se-Hoon
authors.initials: SH
authors.lastname: Kim
authors.forename: Dong-Joon
authors.initials: DJ
authors.lastname: Lim
authors.forename: Hung-Seob
authors.initials: HS
authors.lastname: Chung
mesh_terms: D000328:Adult; D001549:Benzamides; D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D003392:Cranial Sinuses / Q000473:pathology / Q000601:surgery*; D018223:Dermatofibrosarcoma / Q000098:blood supply / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D000068877:Imatinib Mesylate; D008279:Magnetic Resonance Imaging; D020360:Neoadjuvant Therapy; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local / Q000098:blood supply / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D010879:Piperazines / Q000627:therapeutic use; D011743:Pyrimidines / Q000627:therapeutic use; D012086:Reoperation; D012535:Scalp / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D012878:Skin Neoplasms / Q000098:blood supply / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D012888:Skull Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000556:secondary* / Q000601:surgery
chemical_list: D001549:Benzamides; D010879:Piperazines; D011743:Pyrimidines; D000068877:Imatinib Mesylate