Dermatofibrosarcoma in glabella: An uncommon location

Dermatofibrosarcoma is a rare cancer with a slow growth pattern and aggressive tissue invasion. The treatment for this condition involves surgical intervention to achieve clear margins. In this particular case, we have a 60-year-old man who had a mass in the glabella area that was excised twice unde...

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Bibliographic Details
Published in:Revista Brasileira de cirurgia plástica 2023, Vol.38 (3)
Main Authors: Baldini, Carlos Eduardo, Castro, Mario Augusto Ferrari de, Dedivitis, Rogério Aparecido
Format: Article
Language:English
Subjects:
dermatofibrosarcoma
head and neck neoplasms
mohs surgery
reconstructive surgical procedures
skin neoplasms
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Summary:Dermatofibrosarcoma is a rare cancer with a slow growth pattern and aggressive tissue invasion. The treatment for this condition involves surgical intervention to achieve clear margins. In this particular case, we have a 60-year-old man who had a mass in the glabella area that was excised twice under local anesthesia at a different facility. The results of both biopsies indicated dermatofibroma. However, the patient experienced a new recurrence, and during the immunohistochemistry analysis of the initial excision, it was revealed to be dermatofibrosarcoma. As a result, a broad excision was performed until negative margins were obtained based on frozen sections. Additionally, a frontal flap was employed to reconstruct the surgical defect. The outcome of the treatment was deemed successful, without complications.
ISSN:2177-1235
1983-5175
2177-1235
DOI:10.5935/2177-1235.2023RBCP0769-EN