scholarly journals O-79 Effect of Lymphovascular Invasion (LVI) on Local Recurrence after Wide Local Excision (WLE) and after Mastectomy (Mx)

2010 ◽  
Vol 8 (6) ◽  
pp. 30
Author(s):  
R.W. Blamey ◽  
L. Cataliotti ◽  
M. Sundquist ◽  
R. Mansel ◽  
G.R. Ball
Keyword(s):  
Local Recurrence ◽  
Local Excision ◽  
Wide Local Excision ◽  
Lymphovascular Invasion

scholarly journals Wide Local Excision for Dermatofibrosarcoma Protuberans: A Single-Center Series of 90 Patients

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Byung Jun Kim ◽  
Hyeonwoo Kim ◽  
Ung Sik Jin ◽  
Kyung Won Minn ◽  
Hak Chang
Keyword(s):  
Local Recurrence ◽  
Local Excision ◽  
Wide Local Excision ◽  
Safety Margin ◽  
Dermatofibrosarcoma Protuberans ◽  
Low Grade ◽  
Recurrence Free Survival ◽  
Free Survival ◽  
Incomplete Removal ◽  
Surgical Methods

Background. Dermatofibrosarcoma protuberans (DFSP), a rare low-grade sarcoma of fibroblast origin, tends to extend in a finger-like fashion beyond macroscopic tumor margins. Therefore, incomplete removal and subsequent recurrence are common. This study aimed to determine the efficacy of wide local excision (WLE) for controlling local recurrence of DFSP.Methods. The medical records of 90 DFSP patients who received WLE at our hospital between June 1992 and January 2015 were retrospectively reviewed. WLE was conducted including a 3 cm (range, 1 to 5 cm) safety margin according to tumor size, location, and recurrence status. Clinical and tumor characteristics and surgical methods were evaluated for risk factor analysis and local recurrence-free survival.Results. DFSP occurred most often in patients in their 30s (30%) and on the trunk (51.1%). Five patients (5.5%) experienced local recurrence during the 43.4-month follow-up period. Recurrence was found at a mean of 10.8 months after WLE. Although no factors were significantly associated with recurrence, recurrences were more frequent in head and neck. Recurrence-free survival was 87% in 6 years and 77% in 7 years.Conclusions. WLE with adequate lateral and deep margins can effectively control local recurrence rate and is a simple and effective method to treat DFSP.

scholarly journals “Deep” vertical Mohs and closure with a tumor-free flap for dermatofibrosarcoma protuberans: A case report

2019 ◽  
Vol 7 ◽  
pp. 2050313X1984778
Author(s):  
Ann M John ◽  
Gina Francisco ◽  
Radhika Srivastava ◽  
Hamza Bhatti ◽  
Babar K Rao
Keyword(s):  
Case Report ◽  
Local Recurrence ◽  
Surgical Technique ◽  
Local Excision ◽  
Free Flap ◽  
Malignant Tumor ◽  
Wide Local Excision ◽  
Dermatofibrosarcoma Protuberans ◽  
High Rate ◽  
Low Grade

Dermatofibrosarcoma protuberans is an uncommon low-grade malignant tumor that can invade locally and rarely metastasize. Dermatofibrosarcoma protuberans has a high rate of local recurrence due to incomplete excision, especially in deep tissues. Morbidity is often related to multiple local recurrences and removal of excessive tissue with large, complex repairs. We present a case of incompletely excised dermatofibrosarcoma protuberans after initial wide local excision. We subsequently employed a “deep” vertical Mohs micrographic surgical technique to remove the remaining tumor while creating a flap with the tumor-free superficial portion to preserve tissue and avoid a complicated repair. The patient is tumor-free for 7 years.

Effect of Reducing Margins of Wide Local Excision on Local Recurrence in Head and Neck Melanoma

2010 ◽  
Vol 126 ◽  
pp. 17-18
Author(s):  
Vinay Rawlani ◽  
Donald W. Buck ◽  
Karl Y. Bilimoria ◽  
Jeffrey D. Wayne ◽  
John Y.S. Kim
Keyword(s):  
Local Recurrence ◽  
Head And Neck ◽  
Local Excision ◽  
Wide Local Excision ◽  
Head And Neck Melanoma

Local Recurrence of Melanoma Is Higher After Wide Local Excision Versus Mohs Micrographic Surgery or Staged Excision

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Renee L.D. Pride ◽  
Christopher J. Miller ◽  
M. Hassan Murad ◽  
Patricia J. Erwin ◽  
Jerry D. Brewer
Keyword(s):  
Local Recurrence ◽  
Local Excision ◽  
Wide Local Excision ◽  
Mohs Micrographic Surgery ◽  
Micrographic Surgery
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