title: Dermatofibrosarcoma Protuberans: Wide Local Excision Versus Mohs Micrographic Surgery.
abstract: Dermatofibrosarcoma protuberans (DFSP) is a rare dermal soft tissue sarcoma characterized by a typically indolent clinical course. The greatest clinical challenge in management of DFSP is achieving local control. There is vigorous debate in the literature as to the optimal surgical approach to these tumors. The choice between wide local excision and Mohs micrographic surgery for DFSP should be governed by the attainment of three goals: (1) to completely excise the tumor with negative margins, tantamount to cure; (2) to preserve function, optimize cosmesis, and minimize morbidity of resection; and (3) to minimize cost and inconvenience to the patient and the health care system at large.
authors: Division of Surgical Oncology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Yawkey 7B, Boston, MA 02114, USA. Electronic address: jmullen@mgh.harvard.edu.
authors: John T
authors: JT
authors: Mullen
mesh_terms: D018223:Dermatofibrosarcoma / Q000473:pathology / Q000601:surgery*; D062109:Dermatologic Surgical Procedures; D006801:Humans; D015580:Mohs Surgery / Q000379:methods*; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery; D012509:Sarcoma; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
keywords: Cutaneous sarcoma; Dermatofibrosarcoma protuberans; Mohs surgery; Recurrence; Wide local excision