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Journal of Korean Neurosurgical Society 2005;37(3): 241-243.
A Case of Recurrent Dermatofibrosarcoma of the Scalp.
Tae Yeon Jo, Sang Dae Kim, Se Hoon Kim, Jung Yul Park
Department of Neurosurgery, Korea University Medical Center, Ansan Hospital, Ansan, Korea. jypark@kumc.co.kr
We report a case of recurrent dermatofibrosarcoma in a 30-years-old woman who had undergone operations three times during 60 months and had received post-operative radiotherapy. On neurological examination, no neurological deficits were noticed. In brain magnetic resonance image(MRI), there was right parieto-occipital scalp mass with high signal in T2-weighted image, low signal in T1-weighted image with homogeneous enhancement. The removal was done including about 2cm uninvolved margins and pathologic examination of the lesion revealed dermatofibrosarcoma protuberans(DFSP). The prognostic factors of local recurrence may be related to surgical margins for resection; the length from the grossly intact margins, and the microscopically controlled excision in margins.
Key Words: Dermatofibrosarcoma protuberans; Prognostic factor; Resection; Recurrence
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