Breast dermatofibrosarcoma protuberans with latissimus dorsi reconstruction. A case report
DOI:
https://doi.org/10.20453/rmh.v34i3.4926Keywords:
Breast, myocutaneous flap, breast reconstruction, superficial back musclesAbstract
Dermatofibrosarcoma protuberans is a fibro histiocytic cutaneous tumor extremely rare that accounts for less than 1% of all breast cancers, and it is characterized by slow growing but locally invasiveness with high recurrence rates. Confirmation of the diagnosis is with histopathology with immunohistochemistry. Treatment of choice is surgical resection with latissimus dorsalis reconstruction. We present the case of a 23-year-old woman with dermatofibrosarcoma protuberans of the right breast in whom a tumorectomy followed by latissimus dorsalis reconstruction was performed. The patient had a favorable clinical evolution remaining free of disease.
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Siegel R, Ma J, Zou Z, Jemal A. Cancer Statics. CA Cancer J Clin. 2014 Jan-Feb; 64(1):9-29. Doi: 10.3322/caac.21208
Llombart B, Serra-Guillén C, Monteagudo C, López Guerrero JA, Sanmartín O. Dermatofibrosarcoma protuberans: a comprehensive review and update on diagnosis and management. Semin Diagn Pathol. 2013 Feb; 30(1): 13-28. Doi: 10.1053/j.semdp.2012.01.002
Gloster HM Jr. Dermatofibrosarcoma protuberans. J Am Acad Dermatol. 1996 Sep; 35(3 Pt 1): 355-374; quiz 375-6. Doi: 10.1016/s0190-9622(96)90597-6
Criscione VD, Weinstock MA. Descriptive epidemiology of dermatofibrosarcoma protuberans in the United States, 1973 to 2002. J Am Acad Dermatol. 2007 Jun; 56(6): 968-973. Doi: 10.1016/j.jaad.2006.09.006
Valls O, Marinell Z, Paramio A. Tumores y lesiones seudotumorales de partes blandas. Madrid: Expasa, 1975;92-3.
Serra-Guillén C, Llombart B, Sanmartín O. Dermatofibrosarcoma protuberans. Actas Dermosifiliogr. 2012 Nov; 103 (9):762-777. Doi: 10.1016/j.ad.2011.10.007
Trent JC, Rosenberg AE, Pollock R, DeLaney TF. Sarcomas: Evidence-Based Diagnosis and Management. New York: Demos Medical Publishing; 2020. p. 33-38.
Lautier R, Wolff HH, Jones RE. An immunohistochemical study of dermatofibrosarcoma protuberans supports its fibroblastic character and contradicts neuroectodermal or histiocytic components. Am J Dermatopathol. 1990 Feb; 12(1): 25-30. Doi: 10.1097/00000372-199002000-00004
Allan AE, Tsou HC, Harrington A, Stasko T, Lee X, Si SP, Grande DJ, Peacocke M. Clonal origin of dermatofibrosarcoma protuberans. J Invest Dermatol. 1993 Feb; 100(2):99-102. Doi: 10.1111/1523-1747.ep12462767
Valdivielso-Ramos M, Hernanz JM. Dermatofibrosarcoma protuberans in childhood. Actas Dermosifiliogr. 2012 Dec; 103(10): 863-873. Doi: 10.1016/j.ad.2011.12.005
Cai H, Wang Y, Wu J, Shi Y. Dermatofibrosarcoma protuberans: Clinical diagnoses and treatment results of 260 cases in China. J Surg Oncol. 2012 Feb;105(2):142-8. Doi: 10.1002/jso.22000
Gloster HM, Harris KR, Roenink RK. A comparision between Mohs micrographic surgery and wide surgical excision for treatment of dermatofibrosarcoma protuberans. J Am Acad Dermatol. 1996 Jul; 35(1):82-7.
Smith SE, Keshavjee S. Primary chest wall tumors. Thorac Surg Clin. 2010 Nov; 20(4):495-507. Doi: 10.1016/j.thorsurg.2010.07.003
Tateishi U, Gladish GW, Kusumoto M, Hasegawa T, Yokoyama R, Tsuchiya R, Moriyama N. Chest wall tumors: radiologic findings and pathologic correlation: part 2. Malignant tumors. Radiographics. 2003 Nov-Dec; 23(6):1491-508. Doi: 10.1148/rg.236015527
Saiag P, Grob JJ, Lebbe C, Malvehy J, del Marmol V, Pehamberger H, Peris K, Stratigos A, Middelton M, Basholt L, Testori A, Garbe C, Diagnosis and treatment of dermatofibrosarcoma protuberans. European consensus-based interdisciplinary guideline. Eur J Cancer. 2015 Nov; 51(17):2604-2608. Doi: 10.1076/j.ejca.2015.06.108
National Comprehensive Cancer Network. Dermatofibromasarcoma protuberans: versión 1.2023. (Citado el 13 de Enero del 2023) Disponible en el: http://www.nccn.org/professionals/physician_gls/pdf/dfsp.pdf
Sanmartín O, Llombart B, López-Guerrero JA, Serra C, Requena C, Guillén C. Dermatofibrosarcoma protuberans. Actas Dermosifiliogr. 2007 Mar: 98(2): 77-87.
Said-Lemus FM, Peralta-Castillo GG, Salazar-Andrade JA, Maffuz-Aziz A, Sherwell-Cabello S, Rodríguez-Cuevas S. Colgajo miocutáneo extendido de dorsal ancho en la reconstrucción de grandes defectos de la pared torácica posterior a resecciones extensas en patología mamaria. GAMO. 2017 Oct; 16(6):321-325.
David EA, Marshall MB. Review of chest wall tumors: a diagnostic, therapeutic, and reconstructive challenge. Semin Plast Surg. 2011 Feb; 25(1):16-24. Doi: 10.1055/s-0031-1275167
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