title: [Mohs micrographic surgery in two children with dermatofibrosarcoma protuberans].
abstract: Dermatofibrosarcoma protuberans is a rare low-grade malignant tumor. The pseudopodia structure of the tumor requires 3-5 cm surgical margins. Mohs micrographic surgery (MMC) can reduce these margins to 1.3 cm while controlling all the histological excision margins. Children seem to be a good indication for this technique because it reduces the amount of skin removed. We report 2 cases of pediatric DFS treated with CMM to illustrate the usefulness of this technique in pediatrics. Two girls, aged 12 and 13 years, had a dermatofibrosarcoma located on the breast and sternum, respectively. CMM was proposed. One operative session was needed with direct closure in a second phase. MMS is a useful surgical technique for childhood tumors. If dermatofibrosarcoma is a very good indication in children, other skin tumors could benefit from this approach.
authors.affiliation: Service de dermatologie, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-colonel Prud'hon, 95107 Argenteuil cedex, France. emmanuel.mahe@ch-argenteuil.fr
authors.forename: E
authors.initials: E
authors.lastname: Mahé
authors.forename: J-F
authors.initials: JF
authors.lastname: Sei
authors.forename: V
authors.initials: V
authors.lastname: Chaussade
authors.forename: J
authors.initials: J
authors.lastname: Di Lucca-Chrisment
authors.forename: M
authors.initials: M
authors.lastname: Serra
authors.forename: A
authors.initials: A
authors.lastname: Tchakerian
authors.forename: T
authors.initials: T
authors.lastname: Clérici
authors.forename: U
authors.initials: U
authors.lastname: Zimmermann
authors.forename: P
authors.initials: P
authors.lastname: Saiag
mesh_terms: D000293:Adolescent; D002648:Child; D018223:Dermatofibrosarcoma / Q000601:surgery*; D005260:Female; D006801:Humans; D015580:Mohs Surgery; D012878:Skin Neoplasms / Q000601:surgery*