Effective resection of dermatofibrosarcoma protuberans using the novel Saturn's rings technique.

Autor:	Kim GW; Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Republic of Korea., Bae YC; Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Republic of Korea.; Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea., Hong JH; Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Republic of Korea., Kim HS; Department of Dermatology, Pusan National University Hospital, Busan, Republic of Korea., Yi CC; Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Republic of Korea.; Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.
Jazyk:	angličtina
Zdroj:	Medicine [Medicine (Baltimore)] 2023 Nov 17; Vol. 102 (46), pp. e36031.
DOI:	10.1097/MD.0000000000036031
Abstrakt:	Dermatofibrosarcoma protuberans (DFSP) is a rare, low-grade sarcoma with locally infiltrative characteristics. A wide excision is made with a 5 cm gross margin. However, recently, Mohs micrographic surgery has emerged as an alternative. In this study, we evaluate a novel method (Saturn's Rings technique) for removing tumors that combines the advantages of wide excision and Mohs micrographic surgery. Between September 2001 and March 2020, 29 patients with DFSP, excluding the head and neck, were treated using Saturn's rings technique. Frozen biopsies were performed at regular intervals under various conditions and depths. If the biopsy was positive, a negative margin was obtained through an additional session. The depth and breadth of excision, reconstruction method, and postoperative recurrence were analyzed. The breadth of excision was evaluated at 1 cm intervals. Only 1 session was required in 12 cases, 2 sessions were needed in 13 cases, and 3 or more sessions were performed in 4 cases. In 24 cases, the depth of excision was limited to above the superficial fascia, with a negative biopsy of the superficial fascia. Local flaps were the most common reconstruction method (n = 21, 72.4%). No cases of recurrence were observed at follow-up (average, 45.7 months). Saturn's rings technique for DFSP maximized the preservation of normal tissue with minimal resection, was advantageous for reconstruction, and yielded good results without recurrence. Competing Interests: The authors have no funding and conflicts of interest to disclose. (Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu