Electrochemotherapy of a Multirecurrent Dermatofibrosarcoma Protuberans of the Orbital Margin: A Case Report

Anticancer Res. 2015 Nov;35(11):6121-6.

Abstract

Dermatofibrosarcoma protuberans (DFSP) is an uncommon cutaneous sarcoma with high recurrence rate. Radical surgery is the treatment of choice, although in cosmetically-sensitive areas such as the head and neck, this option is often not pursued. Electrochemotherapy (ECT) is a minimal invasive anti-tumor modality which is increasingly being used to treat skin metastases from different malignancies. A 31-year-old woman presented with subcutaneous local multirecurring DFSP located at the proximal end of the left eyebrow. ECT was offered as a palliative treatment to avoid radical disfiguring surgery. Two days following ECT, the patient was discharged in good general health. Partial tumor regression was appreciable at two months' follow-up by ultrasound and magnetic resonance imaging. At six months, residual fibrotic tissue was observed; at three years, no evidence of the tumour was detected. In our case, ECT achieved good local tumor control with excellent cosmetic results, preserving the patient's quality of life.

Keywords: Dermatofibrosarcoma protuberans; electrochemotherapy; ocular area; quality of life.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Dermatofibrosarcoma / drug therapy*
  • Dermatofibrosarcoma / pathology
  • Electrochemotherapy*
  • Female
  • Humans
  • Neoplasm Recurrence, Local / drug therapy*
  • Neoplasm Recurrence, Local / pathology
  • Orbital Diseases / drug therapy*
  • Orbital Diseases / pathology
  • Prognosis
  • Quality of Life
  • Skin Neoplasms / drug therapy*
  • Skin Neoplasms / pathology