Role of Magnetic Resonance Imaging in Perioperative Assessment of Dermatofibrosarcoma Protuberans

Riggs, Karen; McGuigan, Kelly; Morrison, William B.; Samie, Faramarz H.; Humphreys, Tatyana R.

doi:10.1111/j.1524-4725.2009.01330.x

Cited by 24 publications

(18 citation statements)

References 20 publications

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“…Preoperative magnetic resonance imaging (MRI) may serve as a helpful adjunct in selected circumstances to delineate deep tumor margins and allow sparing of uninvolved anatomic structures, although most primary tumors do not require imaging. MRI is particularly useful when the lesion is large, recurrent, or located in an anatomically critical area such as the face . Ultrasound may provide a less‐expensive alternative to MRI in cases in which further delineation of the tumor would be helpful but detail of surrounding soft tissue structures is not imperative.…”

Section: Dermatofibrosarcoma Protuberansmentioning

confidence: 99%

Spindle Cell Neoplasms Encountered in Dermatologic Surgery: A Review

Hollmig

Sachdev

Cockerell

et al. 2012

Dermatologic Surgery

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Cutaneous spindle cell tumors share the common feature of appearing as spindle-shaped cells on light microscopy. Their pathogenesis, presentation, and prognosis are highly variable, and numerous techniques for workup and treatment have been reported. We performed an analysis of the available scientific literature in order to codify the clinical, immunohistochemical, and biologic features of these tumors and to provide insight into the most effective practices for their management, with a focus on Mohs micrographic surgery (MMS). In this article, the clinical and histopathological characteristics of dermatofibrosarcoma protuberans, atypical fibroxanthoma, malignant fibrous histiocytoma, spindle cell squamous cell carcinoma, superficial leiomyosarcoma, desmoplastic melanoma, cutaneous angiosarcoma, and myofibrosarcoma are described, and methods for diagnosis, workup, treatment, and surveillance are evaluated. Cutaneous spindle cell neoplasms are diverse in origin, presentation, and behavior. Immunostaining assists in differentiating among the various types. Further workup is sometimes indicated to characterize local invasion or assess for metastatic disease. Surgery is typically the first-line treatment, and MMS is associated with low recurrence rates and a tissue-sparing advantage for many tumors. Adjuvant treatments, including radiation therapy, molecular-targeted therapy, and conventional chemotherapy, are sometimes indicated, and close clinical surveillance is required after treatment.

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Section: Dermatofibrosarcoma Protuberansmentioning

confidence: 99%

Spindle Cell Neoplasms Encountered in Dermatologic Surgery: A Review

Hollmig

Sachdev

Cockerell

et al. 2012

Dermatologic Surgery

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“…Magnetic resonance imaging has also been used to identify the extent of tumor infiltration in a patient with dermatofibrosarcoma protruberans . It is suggested that MRI can be used in these patients to facilitate surgical planning by assessing degree of tumor extension and structure involvement, including perineural invasion …”

Section: Magnetic Resonance Imagingmentioning

confidence: 99%

“…22 It is suggested that MRI can be used in these patients to facilitate surgical planning by assessing degree of tumor extension and structure involvement, including perineural invasion. 23…”

Section: Magnetic Resonance Imagingmentioning

confidence: 99%

An introduction to primary skin imaging

et al. 2013

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“…Several authors already evaluated the use of magnetic resonance imaging (MRI) for DFSP. Most of them use conventional T1‐ and T2‐weighted sequences . We investigated the use of diffusion‐weighted imaging (DWI) in preoperative assessment and postoperative follow‐up.…”

Section: Introductionmentioning

confidence: 99%

“…Most of them use conventional T1-and T2-weighted sequences. [10][11][12] We investigated the use of diffusion-weighted imaging (DWI) in preoperative assessment and postoperative follow-up. This technique has been used for soft tissue tumors but, to the best of our knowledge, has never been described for the evaluation of DFSP.…”

Section: Introductionmentioning

confidence: 99%