Ho Peiyun, Shen Meng-Han
Department of Dermatology, Wan Fang Hospital, Taipei Medical University, Taipei, TWN.
Cureus. 2024 Jul 12;16(7):e64433. doi: 10.7759/cureus.64433. eCollection 2024 Jul.
This case report describes the utility of artificial dermis in reconstruction for atrophic dermatofibrosarcoma protuberans (DFSP) after slow Mohs micrographic surgery (MMS). A 34-year-old man presented as a slowly growing nodule from an on his right chest for over 10 years. The pathology report confirmed the diagnosis of atrophic DFSP. Further magnetic resonance imaging (MRI) revealed a 9.3 cm x 6.5 cm cutaneous-subcutaneous lesion with close contact with the pectoralis major muscle. The patient underwent a slow MMS, and we utilized a rotational flap in combination with synthetic xenogeneic artificial dermis to reconstruct the final 13 cm x 12 cm defect.
本病例报告描述了人工真皮在缓慢Mohs显微外科手术（MMS）后用于萎缩性隆突性皮肤纤维肉瘤（DFSP）重建的效用。一名34岁男性患者右胸部出现缓慢生长的结节超过10年。病理报告确诊为萎缩性DFSP。进一步的磁共振成像（MRI）显示一个9.3厘米×6.5厘米的皮肤-皮下病变，与胸大肌紧密接触。患者接受了缓慢的MMS，我们使用旋转皮瓣联合合成异种人工真皮来修复最终13厘米×12厘米的缺损。
