Joucdar S, Kismoune H, Boudjemia F, Bacha D, Abed L
Service de Chirurgie plastique et des brûlés, Hôpital de Douera, Douera, Algérie.
Ann Chir Plast Esthet. 2001 Apr;46(2):134-40. doi: 10.1016/s0294-1260(01)00010-3.
Progressive and recurrent dermatofibrosarcoma, described by Darier and Ferrand in 1924, is a fibrous skin tumor with essentially local malignancy. This tumor is often only diagnosed after several recurrences. The authors present a retrospective study of eighty-one cases treated over a ten years period (1983-1994) and a review of the literature. The treatment is surgical: wide and deep excision with respection of the safe subjacent aponeurotic plane. Therapeutic modalities are defined, with particular emphasis of the need for primary surgical treatment by excision, the possibility of in this case being significantly greater than after salvage operations. The prognostical factors are clinical factors such as size of the tumor, the risk of malignant evolution or the need for repeated excisions.
进行性复发性皮肤纤维肉瘤由达里埃和费朗于1924年描述，是一种本质上具有局部恶性的纤维性皮肤肿瘤。这种肿瘤通常在多次复发后才被诊断出来。作者对1983年至1994年十年间治疗的81例病例进行了回顾性研究，并对文献进行了综述。治疗方法为手术治疗：广泛而深入地切除，并尊重下方安全的腱膜平面。明确了治疗方式，特别强调了通过切除进行初次手术治疗的必要性，在这种情况下成功的可能性明显大于挽救性手术后的可能性。预后因素包括临床因素，如肿瘤大小、恶性进展风险或重复切除的必要性。
