Abstract | INTRODUCTION: PATIENTS AND METHODS: Ten consecutive cases have been prospectively treated since 1998. Under local anesthesia, the tumor was first excised including lateral margin of 1 cm and a deep margin including the underlying muscle aponevrosis. A 2 to 3 mm thick horizontal section of the surgical bed was then removed, rush formalin-fixed, paraffin-embedded, tangentially sectioned, hematin- eosin stained, and eventually stained with an anti-CD34 monoclonal antibody. While waiting for pathology results, the surgical bed was not definitively closed. If excision was incomplete, an oriented complementary excision was performed. RESULTS: Excision was complete after the first stage in 7 patients and incomplete only deeply in 3. Lateral surgical margins were reduced to 1.3 cm in all patients, facilitating wound closure: direct suture (5 patients), controlled wound healing (3 patients) or flap coverage (2 patients). No recurrence has been observed after a mean follow-up of 26 months. DISCUSSION:
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Authors | J-F Sei, A Tchakerian, U Zimmermann, T Clerici, V Chaussade, B Franc, P Saiag |
Journal | Annales de dermatologie et de venereologie
(Ann Dermatol Venereol)
Vol. 131
Issue 2
Pg. 158-60
(Feb 2004)
ISSN: 0151-9638 [Print] France |
Vernacular Title | Dermatofibrosarcome de Darier Ferrand: traitement par chirurgie micrographique de Mohs avec inclusion en paraffine. |
PMID | 15026742
(Publication Type: English Abstract, Journal Article)
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Topics |
- Adult
- Female
- Histiocytoma, Benign Fibrous
(surgery)
- Humans
- Male
- Middle Aged
- Mohs Surgery
(methods)
- Paraffin Embedding
- Prospective Studies
- Skin Neoplasms
(surgery)
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