Korean J Dermatol.  2007 Dec;45(12):1270-1274.

Multiple Dermatofibrosarcoma Protuberans on the Scalp Treated by Tissue Expansion and Mohs Micrographic Surgery

• Jeong SY
• Shin JB
• Seo SH
• Son SW
• Kim IH

Abstract

Dermatofibrosarcoma protuberance is a relatively rare malignant soft tissue tumor which is locally invasive and looks like a protruded hardened plaque composed of multiple nodules. It seldom occurs on the scalp and the occurrence rate is less than 5%. Nowadays there is a tendency to choose Mohs surgery as a primary treatment instead of a wide excision, because Mohs surgery can reduce cases of recurrence. We report a case of multiple dermatofibrosarcoma protuberans on the scalp of a 32-year-old man. We planned a delayed operation using tissue expanders. We inserted two skin expanders and successfully expanded scalp tissue more than 150% after 7 months. Mohs surgery was performed with a 4 cm distance from borderline of lesions and then the large scalp skin defect was covered by the expanded skin which had been prepared by tissue expanders. It has been 9 months since the operation was performed and there have been no signs of recurrence.

Keyword

Dermatofibrosarcoma protuberans; Mohs micrographic surgery; Tissue expander

MeSH Terms

Adult
Dermatofibrosarcoma*
Humans
Mohs Surgery*
Recurrence
Scalp*
Skin
Tissue Expansion Devices
Tissue Expansion*