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

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Arslan Alaettin; Eren Saliha Karagoz; Ozcan Serdal Sadet; Akay Ebru; ozdemir Mustafa

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Journal: Archives of Breast Cancer Year:2021 | Volume:8 | Issue:4 Page(s): 342-349

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Title

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

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Keywords

Dermatofibrosarcoma protuberans

uncertain surgical margins

adjuvant radiotherapy

Abstract

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.

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APA: Copy

Arslan, Alaettin, Eren, Saliha Karagoz, Ozcan, Serdal Sadet, Akay, Ebru, & ozdemir, Mustafa. (2021). Dermatofibrosarcoma Protuberans and Adjuvant Radiotherapy: A Case Report with Uncertain Surgical Margins in The Breast. ARCHIVES OF BREAST CANCER, 8(4), 342-349. SID. https://sid.ir/paper/684975/en

Vancouver: Copy

Arslan Alaettin, Eren Saliha Karagoz, Ozcan Serdal Sadet, Akay Ebru, ozdemir Mustafa. Dermatofibrosarcoma Protuberans and Adjuvant Radiotherapy: A Case Report with Uncertain Surgical Margins in The Breast. ARCHIVES OF BREAST CANCER[Internet]. 2021;8(4):342-349. Available from: https://sid.ir/paper/684975/en

IEEE: Copy

Alaettin Arslan, Saliha Karagoz Eren, Serdal Sadet Ozcan, Ebru Akay, and Mustafa ozdemir, “Dermatofibrosarcoma Protuberans and Adjuvant Radiotherapy: A Case Report with Uncertain Surgical Margins in The Breast,” ARCHIVES OF BREAST CANCER, vol. 8, no. 4, pp. 342–349, 2021, [Online]. Available: https://sid.ir/paper/684975/en

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