Reconstruction options in recurrent dermatofibrosarcoma protuberans:A
scoping review.
Rare Tumors 2022;
14:20363613221123951. [PMID:
36341143 PMCID:
PMC9630893 DOI:
10.1177/20363613221123951]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Accepted: 08/11/2022] [Indexed: 11/06/2022] Open
Abstract
Background
This review will outline the evaluation, diagnosis, and management of
dermatofibrosarcoma protuberans and emphasizes multidisciplinary role of
nurses, plastic surgeons and radiation oncologist in this recurrent
metastatic lesion. It pinpoints affected population at risk, clinical
features, and reconstruction options. No analytical research has been done
in this area.
Material and Methods
A scoping review of patients of DFSP who underwent reconstruction after
excision of tumors was performed in the Department of Burn and Plastic
Surgery, AIIMS Rishikesh. It used a five framework approach. A review of 85
similar cases reported in the literature have been scrutinized in relation
to the reconstruction options, sites of the tumor, margins of excision and
recurrence.
Results
85 full length English studies were included out of the 445 cases found in
Pubmed and related search engines to reveal various reconstructive options
in reconstruction of DFSP defects. Present scoping review identifies free
anterolateral thigh flap to be useful in 7 review articles followed by
propeller flaps in 3 isolated case reports. 2 cases of free latissimus dorsi
flap were used for reconstruction of abdominal defects.
Conclusion
All patients should undergo a strict screening protocol where the
health personnel can play a crucial role by educating parents on the
follow up and report new lesions as early as possible. All operated
tumor patients can be given safety tips and education on care and risks
after reconstruction with skin flaps or skin grafting. A
multidisciplinary approach between the surgeon, nurse and radiation
oncologist is needed for effective management of these lesions.
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