Abstract
We report a case of recurrent scalp dermatofibrosarcoma in a 30-year-old woman who underwent surgical intervention on three separate occasions during a 60-month period, and who received post-operative radiotherapy. A small, hard, elastic mass on the right parieto-occipital scalp was initially treated by simple resection in another clinic. Despite surgical intervention and radiotherapy, a recurrent tumor associated with infiltration to the calvarium was detected. The patient was then referred to our institution and a wide resection performed. Two years later, however, the patient was readmitted to our institution as a result of tumor recurrence with intracranial involvement. Scalp dermatofibrosarcoma is an uncommon but aggressive scalp tumor; therefore, wide local excision with good margins is essential to decrease the risk of regional recurrence. Close surveillance in these cases is necessary due to late tumor recurrences.
MeSH terms
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Adult
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Benzamides
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Chemotherapy, Adjuvant
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Combined Modality Therapy
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Cranial Sinuses / pathology
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Cranial Sinuses / surgery*
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Dermatofibrosarcoma / blood supply
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Dermatofibrosarcoma / drug therapy
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Dermatofibrosarcoma / pathology
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Dermatofibrosarcoma / surgery*
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Embolization, Therapeutic
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Female
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Humans
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Imatinib Mesylate
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Magnetic Resonance Imaging
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Neoadjuvant Therapy
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Neoplasm Invasiveness
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Neoplasm Recurrence, Local / blood supply
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Neoplasm Recurrence, Local / drug therapy
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Neoplasm Recurrence, Local / pathology
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Neoplasm Recurrence, Local / surgery*
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Piperazines / therapeutic use
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Pyrimidines / therapeutic use
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Reoperation
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Scalp / blood supply
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Scalp / pathology
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Scalp / surgery*
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Skin Neoplasms / blood supply
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Skin Neoplasms / drug therapy
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Skin Neoplasms / pathology
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Skin Neoplasms / surgery*
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Skull Neoplasms / drug therapy
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Skull Neoplasms / pathology
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Skull Neoplasms / secondary*
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Skull Neoplasms / surgery
Substances
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Benzamides
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Piperazines
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Pyrimidines
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Imatinib Mesylate