%0 Journal Article
%T Multifocal Dermatofibrosarcoma Protuberans SciDoc Publishers | Open Access | Science Journals | Media Partners
%A Berman R
%A Myssiorek D
%A Sanfilippo N
%A Weinstock M
%J Clinical & Experimental Otolaryngology (IJCEO)
%D 2018
%R http://dx.doi.org/10.19070/2572-732X-160003
%X The distance between the mass in the right supraclavicular fossa and the left occipital region of the skull was at least 10 cm; given the negative margins and lack of gross tumor in between these two pathologically confirmed DFSP tumors, it was inferred that these two tumors were concurrently growing and originated from different foci. The patient subsequently underwent external beam radiation to both sites from 1/5/12 through 2/27/12. He received a total of 5940 cGy to both regions. The patient once again presented with a 0.5 x 0.5 cm pink raised area just lateral to the distal/ inferior edge of the supraclavicular wound. MRI showed a region of iso-intensity on T1 and T2 with an enhancing signal within subcutaneous tissue along the anterior margin of the trapezius just proximal to its clavicular insertion measuring approximately 3.5 x 0.9 x 0.3 cm. This mass was excised shortly thereafter and found to be recurrent DFSP with wide local margins of 2 to 3 cm negative for disease. At the time of excision the patient noted some firm changes to the scar on the back of his left neck. An excision and biopsy were taken two months later; this was found to be traumatic neuroma and not DFSP. Three months later the patient presented with right sided headache. The right occipital scalp revealed a nondiscreet mass, not fixed to the skull that was flat and 25mm by 25mm. It was nontender but associated with pain. The left excision site had no masses. The right shoulder was free of subdermal masses. FNA confirmed this mass to be of a benign nature. At one year since the last treatment, the patient remains without evidence of recurrence at the shoulder site. 3 years following completion of radiation at the left mastoid site, a recurrence was noted and resected to negative margins. At no time have distant metastasis been detected
%K Dermatofibrosarcoma Protuberans
%K Multifocal
%K Surgery
%K Radiation
%K Non Immunocompromised.
%U https://scidoc.org/IJCEO-2572-732X-02-101.php