Recurrent Dermatofibrosarcoma Protruberans: For all Surgeons or the Right Surgeons - Challenges and Management Approach.

Abstract

Dermatofibrosarcoma protuberan is a locally aggressive tumor that can be challenging to manage if it becomes recurrent. The best attempt at achieving cure is the first surgery. The outcome of the first surgery is dependent on who the initial surgeon is - right surgeon or not. Multidisciplinary care offers good outcomes when reconstructive needs are catered for. In our resource-poor setting, it will be beneficial to have an adequate (more than 5 cm margin) excision margin followed by reconstruction of defects by surgeons with adequate training in management of the pathology and tissue reconstruction.