Dermatofibrosarcoma protuberans treatment and reconstruction: a case study.
An ever-increasing number of cutaneous cancers are being excised using Mohs micrographic surgery. Mohs micrographic surgery may be the treatment of choice for facial and scalp dermatofibrosarcoma protuberans since this technique enhances reconstruction options and decreases the chance for recurrence of this uncommon tumor. With the development of tissue expansion techniques, the options for reconstructive closure of these scalp defects have increased. A coordinated effort between patient, family and the medical staff increases efficiency and overall treatment success. At one Midwestern hospital, this coordinated effort begins at the time of diagnosis and involves both the nurses and physicians in the dermatology and plastic surgery departments. The Mohs micrographic surgery is performed by the dermatologist and the reconstruction performed by the plastic surgeon.