Recurrent Dermatofibrosarcoma Protruberans: For all Surgeons or the Right Surgeons – Challenges and Management Approach

Abstract

Dermatofibrosarcoma protuberan is a locally aggressive tumor that can be challenging to manage if it becomes recurrent. The best  attempt at achieving cure is the first surgery. The outcome of the first surgery is dependent on who the initial surgeon is – right surgeon  or not. Multidisciplinary care offers good outcomes when reconstructive needs are catered for. In our resource-poor setting, it will be beneficial to have an adequate (more than 5 cm margin) excision margin followed by reconstruction of defects by surgeons with  adequate training in management of the pathology and tissue reconstruction.