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Indian J Surg Oncol (March 2013) 4(1):15–18 DOI 10.1007/s13193-012-0178-7 POINT OF TECHNIQUE Management of Recurrent Dermatofibro Sarcoma Protuberance of Scalp-a Reconstructive Challenge Ankur Bhatnagar & Arun Srivastava & R. N. Sahu Received: 26 June 2012 /Accepted: 23 July 2012 /Published online: 31 July 2012 # Indian Association of Surgical Oncology 2012 Introduction For last 1 year patient did not take any treatment and the lesion continued to increase in size. The swelling underwent Dermato fibrosarcoma protuberance (DFSP) of scalp is a extensive ulceration 3 months before reporting to us. relatively uncommon soft tissue neoplasm constituting less On examination the lesion was painless, hard, and nodu- than one percent of all DFSP [4]. Locally aggressive nature lar which bled on touch. There was presence of dirty gran- of lesion, potential intracranial spread and lack of adequate ulation tissue over the ulcer with wound discharge. Margins scalp tissue for reconstruction, makes this lesion unique and were irregular and ulcer was found fixed to the underlying its proper management challenging. All these features man- bone. In view of the aggressive ulcero proliferative picture a date that the management of DFSP scalp,especially exten- differential diagnosis of squamous cell carcinoma was kept sive and
Indian Journal of Surgical Oncology – Springer Journals
Published: Mar 1, 2013
Keywords: surgical oncology; oncology; surgery
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