Intracranial recurrence of the scalp dermatofibrosarcoma.
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.
Kim
Sang-Dae
SD
Department of Neurosurgery, College of Medicine, Korea University, Seoul, Republic of Korea.
Park
Jung-Yul
JY
Choi
Won-Seok
WS
Kim
Se-Hoon
SH
Lim
Dong-Joon
DJ
Chung
Hung-Seob
HS
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
D001549:Benzamides; D010879:Piperazines; D011743:Pyrimidines; D000068877:Imatinib Mesylate