Title |
Dermatofibrosarcoma protuberans of the vulva: margins assessment and reconstructive options - a report of two cases.
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Published in |
World Journal of Surgical Oncology, December 2014
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DOI | 10.1186/1477-7819-12-399 |
Pubmed ID | |
Authors |
Bertolli E, Bretchbuhl ER, Camarço WR, Campagnari M, Molina AS, Baiocchi G, Macedo MP, Pinto CA, Cunha IW, Neto JP, Eduardo Bertolli, Eduard Bretchbuhl, William Camarço, Mariane Campagnari, André Molina, Glauco Baiocchi, Mariana Petaccia de Macedo, Clovis Antonio Pinto, Isabela Werneck da Cunha, João Pedreira Neto |
Abstract |
Dermatofibrosarcoma Protuberans (DFSP) of the vulva is rare and oncologic surgery with free margins may lead to severe functional damage, requiring multidisciplinary approach regarding resection, margin assessment and reconstruction.Case Report: Two cases of DFSP in vulva were treated in a single institution. A 28-year-old patient with an incisional biopsy in the vulvar region revealing DFSP underwent a partial vulvectomy with clitoris preservation. Pathological studies revealed free margins and reconstructive surgery was performed. This patient is disease free in a 40 months follow up. The other, a 57-year-old patient was also referred after an incomplete resection of a DFSP in the vulvar region. A 1-cm margim resection followed by Complete Circumferential and Peripheral Deep Margin Assessment (CCPDMA) was performed. Although the upper lateral margin was positive, it was possible to perform another wide local excision with preservation of the clitoris and primary closure. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 1 | 25% |
Saudi Arabia | 1 | 25% |
United Kingdom | 1 | 25% |
Unknown | 1 | 25% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 3 | 75% |
Scientists | 1 | 25% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 15 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 3 | 20% |
Other | 2 | 13% |
Professor | 2 | 13% |
Student > Doctoral Student | 2 | 13% |
Student > Postgraduate | 2 | 13% |
Other | 3 | 20% |
Unknown | 1 | 7% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 10 | 67% |
Nursing and Health Professions | 1 | 7% |
Engineering | 1 | 7% |
Unknown | 3 | 20% |