Dermatofibrosarcome de Darier-Ferrand: deux cas à localisation cervicofaciale

Miloundja, Jérôme; Eyogho, Suzy Flore Assini; Lawson, J. M. Mandji; Makungu, Alain Patrick; Bamba, J.; Nzenze, Sylvie; Nziengui, A.; Ondo, Thimothée Ella; N'Zouba, L.

doi:10.1007/s12558-012-0223-z

Cited by 3 publications

(11 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Two principles are used to achieve this goal. These are micrographic Mohs surgery and wide and deep resection in treatment centers without extemporaneous histological examination 9,12,14,26 . Micrographic surgery of Mohs is ideal as it allows for carcinology while remaining economical in terms of resection 27,28 .…”

Section: Discussionmentioning

confidence: 99%

“…These are micrographic Mohs surgery and wide and deep resection in treatment centers without extemporaneous histological examination. 9,12,14,26 Micrographic surgery of Mohs is ideal as it allows for carcinology while remaining economical in terms of resection. 27,28 This favors immediate skin closure after resection of small tumors without skin tension.…”

Section: Discussionmentioning

confidence: 99%

“…In Africa, they are reported in case series that do not allow reliable conclusions on their therapeutic and evolutionary aspects 6,7 . They have three particularities reported in the literature 6,8,9 . They are of preferential truncal localization, multirecurrent and especially with local malignancy 6,8,9 .…”

Section: Introductionmentioning

confidence: 99%

“…6,8,9 They are of preferential truncal localization, multirecurrent and especially with local malignancy. 6,8,9 This is why they are often considered as an intermediate between aggressive sarcoma and harmless fibroma. 10 Indeed, metastases are described in less than 5% of cases.…”

Section: Introductionmentioning

confidence: 99%

“…6,7 They have three particularities reported in the literature. 6,8,9 They are of preferential truncal localization, multirecurrent and especially with local malignancy. 6,8,9 This is why they are often considered as an intermediate between aggressive sarcoma and harmless fibroma.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Dermatofibrosarcoma protuberans surgery: Experiences of four African surgical oncology units and literature review

Zongo

Guigemdé

Yameogo

et al. 2022

Journal of Surgical Oncology

View full text Add to dashboard Cite

Background and Objectives Dermatofibrosarcoma is a locally malignant tumor. This gives surgery a place of choice. The advent of imatinib has improved outcomes. Our aim is to describe the indications, techniques and results of surgery. Methods A retrospective, multicenter, descriptive study conducted in four West African surgical oncology units. It covers dermatofibrosarcoma surgery performed between January 1, 1988 and December 31, 2020. We took into account the surgical procedure, the mode of skin coverage, adjuvant treatments and survival. Comparisons were possible using Student's t‐test and Pearson's χ2. Results We recorded 81 cases of dermatofibrosarcoma. Surgery was effective in 90.1% of cases. Wide resection was the principle with a mean resection margin of 3.8 ± 1.9 cm. healing by primary intention, flaps and healing by secondary intention were the methods of skin coverage in 30.1%, 24.7% and 41.1% respectively. The type of skin coverage was related to the topography and size of the tumor (p < 0.0001). The healing time is associated with the type of skin cover. The recurrence rate was not related to the type of skin coverage (p = 0.8). Conclusions Wide and deep resection in the absence of Mohs micrographic surgery ensures healthy margins. Oncoplasty reduces the healing time without increasing the risk of recurrence.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Dermatofibrosarcoma protuberans surgery: Experiences of four African surgical oncology units and literature review

Zongo

Guigemdé

Yameogo

et al. 2022

Journal of Surgical Oncology

View full text Add to dashboard Cite

show abstract

Localisation temporo-faciale pédiculée d’un dermatofibrosarcome de Darier-Ferrand. A propos d’un cas

Razakanaivo¹,

Ranaivomanana²,

Andrianjafitrimo³

et al. 2015

J Afr Cancer

View full text Add to dashboard Cite

Darier-Ferrand Dermofibrosarcoma: A Case Report of a Cervical Localization

Mbaye,

Ndiaye,

Thiam

et al. 2023

IJOHNS

View full text Add to dashboard Cite

Darier-Ferrand dermatofibrosarcoma (DFS) is a cutaneous mesenchymal tumor of intermediate malignancy. It is a rare but not exceptional tumor, accounting for 0.1% of malignant skin tumors. Histological examination is essential for diagnosis. Wide surgical excision is the standard treatment. DFS is a tumor whose prognosis and evolutionary risk are mainly linked to the delay in diagnosis and the quality of the first excision. Late diagnosis makes excision and reconstruction surgery difficult. The chances of recovery in the case of well-performed primary surgery are significantly greater than in the case of salvage surgery. To improve prognosis, early, codified, multidisciplinary management is essential. In our African context, and especially in the case of patients living in rural areas, errant diagnoses are often found hence the importance of raising awareness and providing information to healthcare personnel. We report a case of an enlarged left supraclavicular Darier-Ferrand dermatofibrosarcoma. The patient had come for a late consultation at a stage when the tumour was large. The CT scan was a great help in the pre-operative phase. The patient underwent complete surgical excision, the postoperative course was straightforward and the histology of the surgical specimen confirmed the diagnosis. The resection margins were healthy. The patient is alive at one year with no recurrence or metastasis.

show abstract

Dermatofibrosarcome de Darier-Ferrand: deux cas à localisation cervicofaciale

Cited by 3 publications

References 8 publications

Dermatofibrosarcoma protuberans surgery: Experiences of four African surgical oncology units and literature review

Dermatofibrosarcoma protuberans surgery: Experiences of four African surgical oncology units and literature review

Localisation temporo-faciale pédiculée d’un dermatofibrosarcome de Darier-Ferrand. A propos d’un cas

Darier-Ferrand Dermofibrosarcoma: A Case Report of a Cervical Localization

Contact Info

Product

Resources

About