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复发性隆突性皮肤纤维肉瘤病例——因素与陷阱

Case of recurrent Dermatofibrosarcoma Protuberans- factors and pitfalls.

作者信息

Dewan Ashish Gopal, Sharma Raman, Soni Sanjay, Singh Ishwar, Meher Ravi, Khurana Nita, Sajeed Sameer, Singh Divya, Dewan Aakrith D

机构信息

Department of ENT and Head-Neck Surgery, Maulana Azad Medical College, New Delhi, India.

Department of Pathology, Maulana Azad medical college, New Delhi, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2025 Jan;77(1):482-486. doi: 10.1007/s12070-024-05143-3. Epub 2024 Oct 28.

Abstract

Dermatofibrosarcoma protuberans (DFSP) is a benign but locally aggressive tumor originating from the skin's fibroblasts. In its appearance, the tumor can resemble other harmless conditions such as a hypertrophic scar or even acne, with no definitive symptoms. A 32-year-old woman presented with a 2-month history of a lesion over the neck. The histopathology revealed DFSP, and the patient underwent surgical excision with negative margins. However, the lesion recurred after five months, necessitating a revision surgery with adjuvant radiotherapy. We aim to discuss the potential factors contributing to the recurrence. These tumors are best managed in multidisciplinary clinics, and there is a need for long-term surveillance of these patients.

摘要

隆突性皮肤纤维肉瘤(DFSP)是一种起源于皮肤成纤维细胞的良性但具有局部侵袭性的肿瘤。从外观上看,该肿瘤可能类似于其他无害病症,如增生性瘢痕甚至痤疮,没有明确的症状。一名32岁女性颈部出现一个病变,病史2个月。组织病理学检查显示为DFSP,患者接受了手术切除,切缘阴性。然而,病变在五个月后复发,需要进行翻修手术并辅助放疗。我们旨在讨论导致复发的潜在因素。这些肿瘤最好在多学科诊所进行管理,并且需要对这些患者进行长期监测。

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本文引用的文献

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Dermatofibrosarcoma protuberans of the head and neck.头颈部隆突性皮肤纤维肉瘤
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Dermatofibrosarcoma protuberans of the head and neck.
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