Dermatofibrosarcoma Protuberans and Adjuvant Radiotherapy: A Case Report with Uncertain Surgical Margins in The Breast

Background: Dermatofibrosarcoma Protuberans (DFSP) is a rare, locally aggressive superficial soft tissue tumor that can occur in many parts of the body. Surgical resection with a wide margin of safety is the main treatment modality of this rare tumor of the breast. According to the postoperative pa...

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Autores principales:	Alaettin Arslan, Saliha Karagoz Eren, Serdal Sadet Ozcan, Ebru Akay, Mustafa Ozdemir
Formato:	article
Lenguaje:	EN
Publicado:	Kaviani Breast Disease Institute 2021
Materias:	Dermatofibrosarcoma protuberans Uncertain surgical margins Adjuvant radiotherapy Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/ffa5be39256b474a94293b081461b9ea
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spelling	oai:doaj.org-article:ffa5be39256b474a94293b081461b9ea2021-12-04T02:18:55ZDermatofibrosarcoma Protuberans and Adjuvant Radiotherapy: A Case Report with Uncertain Surgical Margins in The Breast10.32768/abc.202184342-3492383-0433https://doaj.org/article/ffa5be39256b474a94293b081461b9ea2021-10-01T00:00:00Zhttps://www.archbreastcancer.com/index.php/abc/article/view/424https://doaj.org/toc/2383-0433 Background: Dermatofibrosarcoma Protuberans (DFSP) is a rare, locally aggressive superficial soft tissue tumor that can occur in many parts of the body. Surgical resection with a wide margin of safety is the main treatment modality of this rare tumor of the breast. According to the postoperative pathology report, the patient can be followed up or adjuvant radiotherapy (RT) can be added. Case presentation: A 22-year-old woman presented with a mass filling the lower inner quadrant of her right breast. Tru-cut biopsy revealed a mesenchymal tumor, but excision was recommended for definitive diagnosis. A right breast quadrantectomy was performed. The result came as DFSP. Tumor diameter was 10x9x6.5 cm and the tumor was positive in most of the surgical margins. The patient underwent re-resection and a residual tumor with a diameter of 0.2 cm was detected at a distance of 3.3 cm from the surgical margin. Although the surgical margins were negative, the distance of the posterior surgical margin, in particular, could not be assured. Because of the uncertainty of surgical margins, 60 Gy RT was planned. Conclusion: The localization of DFSP in the breast is extremely rare and surgery is the primary treatment. RT should be added as an adjuvant when safe surgical margins cannot be obtained. Alaettin ArslanSaliha Karagoz ErenSerdal Sadet OzcanEbru AkayMustafa OzdemirKaviani Breast Disease InstitutearticleDermatofibrosarcoma protuberans Uncertain surgical marginsAdjuvant radiotherapyNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENArchives of Breast Cancer (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Dermatofibrosarcoma protuberans Uncertain surgical margins Adjuvant radiotherapy Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	Dermatofibrosarcoma protuberans Uncertain surgical margins Adjuvant radiotherapy Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Alaettin Arslan Saliha Karagoz Eren Serdal Sadet Ozcan Ebru Akay Mustafa Ozdemir Dermatofibrosarcoma Protuberans and Adjuvant Radiotherapy: A Case Report with Uncertain Surgical Margins in The Breast
description	Background: Dermatofibrosarcoma Protuberans (DFSP) is a rare, locally aggressive superficial soft tissue tumor that can occur in many parts of the body. Surgical resection with a wide margin of safety is the main treatment modality of this rare tumor of the breast. According to the postoperative pathology report, the patient can be followed up or adjuvant radiotherapy (RT) can be added. Case presentation: A 22-year-old woman presented with a mass filling the lower inner quadrant of her right breast. Tru-cut biopsy revealed a mesenchymal tumor, but excision was recommended for definitive diagnosis. A right breast quadrantectomy was performed. The result came as DFSP. Tumor diameter was 10x9x6.5 cm and the tumor was positive in most of the surgical margins. The patient underwent re-resection and a residual tumor with a diameter of 0.2 cm was detected at a distance of 3.3 cm from the surgical margin. Although the surgical margins were negative, the distance of the posterior surgical margin, in particular, could not be assured. Because of the uncertainty of surgical margins, 60 Gy RT was planned. Conclusion: The localization of DFSP in the breast is extremely rare and surgery is the primary treatment. RT should be added as an adjuvant when safe surgical margins cannot be obtained.
format	article
author	Alaettin Arslan Saliha Karagoz Eren Serdal Sadet Ozcan Ebru Akay Mustafa Ozdemir
author_facet	Alaettin Arslan Saliha Karagoz Eren Serdal Sadet Ozcan Ebru Akay Mustafa Ozdemir
author_sort	Alaettin Arslan
title	Dermatofibrosarcoma Protuberans and Adjuvant Radiotherapy: A Case Report with Uncertain Surgical Margins in The Breast
title_short	Dermatofibrosarcoma Protuberans and Adjuvant Radiotherapy: A Case Report with Uncertain Surgical Margins in The Breast
title_full	Dermatofibrosarcoma Protuberans and Adjuvant Radiotherapy: A Case Report with Uncertain Surgical Margins in The Breast
title_fullStr	Dermatofibrosarcoma Protuberans and Adjuvant Radiotherapy: A Case Report with Uncertain Surgical Margins in The Breast
title_full_unstemmed	Dermatofibrosarcoma Protuberans and Adjuvant Radiotherapy: A Case Report with Uncertain Surgical Margins in The Breast
title_sort	dermatofibrosarcoma protuberans and adjuvant radiotherapy: a case report with uncertain surgical margins in the breast
publisher	Kaviani Breast Disease Institute
publishDate	2021
url	https://doaj.org/article/ffa5be39256b474a94293b081461b9ea
work_keys_str_mv	AT alaettinarslan dermatofibrosarcomaprotuberansandadjuvantradiotherapyacasereportwithuncertainsurgicalmarginsinthebreast AT salihakaragozeren dermatofibrosarcomaprotuberansandadjuvantradiotherapyacasereportwithuncertainsurgicalmarginsinthebreast AT serdalsadetozcan dermatofibrosarcomaprotuberansandadjuvantradiotherapyacasereportwithuncertainsurgicalmarginsinthebreast AT ebruakay dermatofibrosarcomaprotuberansandadjuvantradiotherapyacasereportwithuncertainsurgicalmarginsinthebreast AT mustafaozdemir dermatofibrosarcomaprotuberansandadjuvantradiotherapyacasereportwithuncertainsurgicalmarginsinthebreast
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Dermatofibrosarcoma Protuberans and Adjuvant Radiotherapy: A Case Report with Uncertain Surgical Margins in The Breast

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