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Mohs Micrographic Surgery for Dermatofibrosarcoma Protuberans of the Vulva
Joint Authors
Duncan, T. J.
Williamson, K. M.
Varma, S.
Doufekas, K.
Nunns, D.
Source
Obstetrics and Gynecology International
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-2, 2 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-11-18
Country of Publication
Egypt
No. of Pages
2
Main Subjects
Abstract EN
Introduction.
Dermatofibrosarcoma Protuberans (DFSP) is a rare cutaneous tumour of low/intermediate malignant potential, which occasionally arises on the vulva.
Historically, the treatment has been wide local excision (WLE).
Mohs micrographic surgery (MMS) is now recommended to ensure precise margin control.
MMS to treat DFSP of the trunk and extremities is well documented.
However, no report to date has described its use in vulval DFSP.
Case History.
A 39 year old woman presented with a longstanding nodule in the left labium majus.
Histology after surgical removal showed an incompletely excised DFSP.
MMS was undertaken with primary closure of the defect.
Three years following treatment there is no evidence of recurrence.
Discussion.
The local recurrence rate of DFSP after WLE ranges from 0–75%.
Finger-like projections from DFSP into surrounding tissue often results in incomplete excision.
Representative vertical sections used in WLE assess less than 1% of the total tumour margin.
MMS uses systematic horizontal sectioning.
100% of the tumour margin is microscopically examined.
MMS is now advocated to ensure precise margin control.
American Psychological Association (APA)
Doufekas, K.& Duncan, T. J.& Williamson, K. M.& Varma, S.& Nunns, D.. 2009. Mohs Micrographic Surgery for Dermatofibrosarcoma Protuberans of the Vulva. Obstetrics and Gynecology International،Vol. 2009, no. 2009, pp.1-2.
https://search.emarefa.net/detail/BIM-480486
Modern Language Association (MLA)
Doufekas, K.…[et al.]. Mohs Micrographic Surgery for Dermatofibrosarcoma Protuberans of the Vulva. Obstetrics and Gynecology International No. 2009 (2009), pp.1-2.
https://search.emarefa.net/detail/BIM-480486
American Medical Association (AMA)
Doufekas, K.& Duncan, T. J.& Williamson, K. M.& Varma, S.& Nunns, D.. Mohs Micrographic Surgery for Dermatofibrosarcoma Protuberans of the Vulva. Obstetrics and Gynecology International. 2009. Vol. 2009, no. 2009, pp.1-2.
https://search.emarefa.net/detail/BIM-480486
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-480486