Mohs micrographic surgery for the treatment of spindle cell tumors of the skin - 02/09/11
Abstract |
Background: Because of the uncommon nature of dermal spindle cell tumors, the effectiveness of various treatment modalities is difficult to assess. Objective: Our purpose was to measure the effectiveness of treating dermatofibrosarcoma protuberans, atypical fibroxanthoma, malignant fibrous histiocytoma, and leiomyosarcoma by means of Mohs micrographic surgery (MMS). In addition, we attempted to determine whether MMS is useful in treating dermal spindle cell tumors when no definitive histopathologic diagnosis can be rendered. Methods: In a retrospective chart review, demographic data, tumor data, treatment characteristics, recurrence, and follow-up data were tabulated. Results: The recurrence rate for dermatofibrosarcoma protuberans treated by MMS was 3.0%, for atypical fibroxanthoma was 6.9%, for malignant fibrous histiocytoma was 43%, and for leiomyosarcoma was 14%. The recurrence rate for spindle cell tumors not otherwise specified was 0%. Conclusion: These data establish the effectiveness of MMS in the treatment of dermal spindle cell tumors, including those for which no definitive histopathologic diagnosis can be rendered. (J Am Acad Dermatol 2001;44:656-9.)
Le texte complet de cet article est disponible en PDF.Abbreviations : AFX:, DFSP:, LMS:, MFH:, MMS:, SCT-NOS:
Plan
Reprint requests: Michael J. Huether, MD, 5501 N Oracle Rd, Suite 161, Tucson, AZ 85704-3851. |
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J Am Acad Dermatol 2001;44:656-9 |
Vol 44 - N° 4
P. 656-659 - avril 2001 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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