title: Recurring facial low-grade fibromyxoid sarcoma in an elderly patient: a case report.
abstract: Low-grade fibromyxoid sarcoma (LGFMS) is a rare type of sarcoma that is characterized by benign-appearing histologic features but a paradoxically aggressive clinical course. These tumors generally occur in young to middle-aged adults, sometimes in children, but rarely in high-aged adults. LGFMS typically affects the deep soft tissues of the trunk or lower extremities; however, it is rarely seen in the face. We here describe a case of LGFMS on the right forehead of an 84-year-old woman. After resection with a 1-cm skin margin, recurrence occurred at 15 months postoperatively. Additional wide excision was subsequently performed with a 2-cm skin margin. Recurrence and metastasis have not been observed for 1 year after the second excision. A wide surgical margin should be considered in cases of LGFMS.
authors.affiliation: Department of Plastic, Reconstructive and Aesthetic Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School, Tokushima, Japan.
authors.forename: Yoshiro
authors.initials: Y
authors.lastname: Abe
authors.forename: Ichiro
authors.initials: I
authors.lastname: Hashimoto
authors.forename: Hideki
authors.initials: H
authors.lastname: Nakanishi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005153:Facial Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D009364:Neoplasm Recurrence, Local / Q000473:pathology* / Q000601:surgery; D012509:Sarcoma / Q000473:pathology* / Q000601:surgery