title: Reconstructive strategies for dermatofibrosarcomas of the face: role of regenerative dermal templates.
abstract: BACKGROUND
  Dermatofibrosarcomas protuberans is a challenging cutaneous tumor from an oncologic and reconstructive surgical point of view. Involvement of functionally and aesthetically sensitive areas, such as facial units, in young patients accounts for more demanding cases. An updated evaluation of most beneficial excisional/reconstructive strategies in these cases is still lacking.
  
  
  METHODS
  We investigated the potential of regenerative dermal templates in staged postoncologic reconstructive management of a young woman affected by a dermatofibrosarcomas protuberans of the forehead involving the frontal bone.
  
  
  RESULTS
  Final result was optimal in terms of cosmetic and functional recovery, obtaining a pliability, softness, and color similar to surrounding healthy skin.
  
  
  CONCLUSIONS
  In facial dermatofibrosarcomas protuberans, staged reconstruction with regenerative dermal templates provides a conservative yet safe and effective management, achieving optimal aesthetic outcomes. We suggest its adoption as first-line treatment in facial dermatofibrosarcomas protuberans that cannot be repaired by direct suture and in equivalent benign yet challenging cases.
authors.affiliation: Clinic of Plastic Surgery, Department of Surgery, Padua University Hospital, University of Padua, Padova, Italy.
authors.forename: Leonardo
authors.initials: L
authors.lastname: Sartore
authors.forename: Erica Dalla
authors.initials: ED
authors.lastname: Venezia
authors.forename: Alessandro
authors.initials: A
authors.lastname: Della Puppa
authors.forename: Alberto
authors.initials: A
authors.lastname: Bedogni
authors.forename: Luca
authors.initials: L
authors.lastname: Campana
authors.forename: Giorgio
authors.initials: G
authors.lastname: Giatsidis
mesh_terms: D000328:Adult; D018223:Dermatofibrosarcoma / Q000473:pathology / Q000601:surgery*; D005153:Facial Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D048091:Guided Tissue Regeneration / Q000295:instrumentation*; D006801:Humans; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*; D016038:Skin Transplantation / Q000295:instrumentation*
keywords: conservative treatment; dermatofibrosarcoma protuberans; facial tumors; reconstructive strategies; regenerative dermal template