Mohs micrographic surgery in two children with dermatofibrosarcoma protuberans

作者：Mahe E^*; Sei J F; Chaussade V; Di Lucca Chrisment J; Serra M; Tchakerian A; Clerici T; Zimmermann U; Saiag P

来源：Archives de Pediatrie, 2011, 18(8): 885-888.

DOI：10.1016/j.arcped.2011.05.018

Dermatofibrosarcoma protuberans is a rare low-grade malignant tumor. The pseudopodia structure of the tumor requires 3-5 cm surgical margins. Mohs micrographic surgery (MMC) can reduce these margins to 1.3 cm while controlling all the histological excision margins. Children seem to be a good indication for this technique because it reduces the amount of skin removed. We report 2 cases of pediatric DFS treated with CMM to illustrate the usefulness of this technique in pediatrics. Two girls, aged 12 and 13 years, had a dermatofibrosarcoma located on the breast and sternum, respectively. CMM was proposed. One operative session was needed with direct closure in a second phase. MMS is a useful surgical technique for childhood tumors. If dermatofibrosarcoma is a very good indication in children, other skin tumors could benefit from this approach.

• 出版日期2011-8