Dermatofibrosarcoma protuberans (DFSP) is a locally aggressive skin tumor. It usually occurs on the trunk and extremities and, only about 10% of cases DFSP are found on head and neck region. Presence of the tumor on the head challenges surgical treatment because of need in wide resections of limited scalp tissue. Recurrent cases of DFSP often possess possibility of bone and intracranial involvement that dictates even greater resection with simultaneous closure to prevent meningitis and other fatal complications. Control of the wound margins either by means of frozen sections or by Moh's technique is a keystone of successful treatment.Here we present a case of recurrent DFSP of the fronto-parietal area. The case is remarkable for intracranial extension of the tumor. Also we describe a rare use of bipedicle a. temporalis superficialis (visor) flap for reconstruction of composite defects of forehead resulted from wide resection of large recurrent DFSP lesion.
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