Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
10087219 | British Journal of Plastic Surgery | 2005 | 4 Pages |
Abstract
The case presented is of a 39-year-old female who, at the age of 13 years, had had a 'dermatofibroma' excised from her left breast. Twenty-six years later she developed an unsightly 'stretched scar'. Excision biopsy demonstrated a dermatofibrosarcoma protuberans (DFSP). This was managed by wide local excision, preservation of the nipple-areolar complex, and immediate reconstruction with a pedicled latissimus dorsi flap. Review of the original histology confirmed the presence of DFSP, revising the original diagnosis. Most DFSPs recur within 3 years of primary excision. Such prolonged latency prior to recurrence has not been previously described. This reinforces the need to educate patients regarding the importance of long-term scar surveillance following skin tumour excision.
Keywords
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Authors
M.C. Swan, P.E. Banwell, K. Hollowood, T.E.E. Goodacre,