Jbali S, Braham R, Driss M, Dhaha M, Saadallah F, Houcine Y. Darier-Ferrand dermatofibrosarcoma protuberans of the face: Case report and literature review.
Int J Surg Case Rep 2024;
120:109844. [PMID:
38852559 PMCID:
PMC11193038 DOI:
10.1016/j.ijscr.2024.109844]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2024] [Revised: 05/24/2024] [Accepted: 05/30/2024] [Indexed: 06/11/2024] Open
Abstract
INTRODUCTION
Darier Ferrand Dermatofibrosarcoma (DFSP) is a rare skin tumor, characterized by its local aggressivity and high potential of recurrence. It affects mainly young and middle-aged adults. Its location in the head and neck region represents nearly 12.5 % of all DFSP.
CASE DESCRIPTION
We report a rare case of a 68-year-old patient who was treated for a DFSP of the cheek's lower part with reconstruction using a pectoralis major musculocutaneous flap. The postoperative course was uneventful and the aesthetic result was good.
DISCUSSION
DFSP is a tumor of intermediate malignancy. Its optimal management is based on complete surgical excision requiring various reconstruction procedures for large defects. The treatment of unresectable lesions remains difficult despite the targeted therapies proposed and the improvement of radiotherapy techniques.
CONCLUSION
The ideal management of a DFSP is based on surgical excision passing largely in healthy tissues. This situation requires early diagnosis and is the guarantee of disease-free survival without major sequelae in head and neck locations.
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