강상윤·앙원용·유영천·박
준
경희대학교
의과대학 성형외과학교실
Treatment
of Wide Dermatofibrosarcoma Protuberans with Tissue
Expander
Sang Yoon Kang, M.D., Won Yong Yang,
M.D.. Young Cheun Yoo M.D.. Jun Park. M.D.
Depamnent
of Plastic and Reconstructive Surgery,
College
of Medicine, KyungHee University, Seoul Korea
Dermatofibrosarcoma
protuberans is a slowly growing, locally invasive
malignant tumor which originates in the dermis.
Clinically, the initial appearance of the tumor
is that of an indurated plaque which subsequently
gives rise to multiple nodules. In the tumor's later
stages, however, its growth rate accelerates, and
a can ulcerate. bleed or become painful. but, metastasis
is very rare. Dermatofibrosarcoma protuberans occurs
most frequently on the trunk and proximal parts
of the limbs, less commonly in the head and neck
region, and only rarely in the extremities and external
genitalia.
A
characteristic feature of Dermatofibrosarcoma protuberans
is the tendency to recur locally. This is apparently
due to the infiltrative growth pattern between collagen
bundles. Therefore, a wide excision is treatment
of choice. Skin grafting is the usual reconstruct
procedure, but flap reconstructions are used for
cosmetic and functional concerns in many anatomic
locations.
We
reported the case of wide atrophic dermatofibrosarcoma
protuberans and the clinical usefulness of the expanded
cutaneous flap using tissue expander in reconstruction
of the tissue deficit after wide and deep excision
of Dermatofibrosarcoma protuberans of the chest
and anterior neck
Key
Words : Dermatofibrosarcoma protuberans, Atrophic
type, Tissue expander |
