隆突性皮肤纤维肉瘤
医学
莫氏手术
皮肤病科
局部广泛切除术
皮肤纤维肉瘤
外科
作者
Jessica B. Brown-Korsah,Sheena T. Hill,Jeremy S. Bordeaux
标识
DOI:10.1016/j.jaad.2022.06.1179
摘要
To the Editor: Dermatofibrosarcoma protuberans (DFSP) is a rare, locally aggressive soft tissue sarcoma that seldom occurs in children. 1 Love W.E. Keiler S.A. Tamburro J.E. Honda K. Gosain A.K. Bordeaux J.S. Surgical management of congenital dermatofibrosarcoma protuberans. J Am Acad Dermatol. 2009; 61: 1014-1023https://doi.org/10.1016/j.jaad.2009.05.028 Abstract Full Text Full Text PDF PubMed Scopus (53) Google Scholar According to the National Comprehensive Cancer Network guidelines, Mohs micrographic surgery (MMS) is the standard of care for DFSP and has been shown to have lower the rates of recurrence than wide local excision (WLE). 1 Love W.E. Keiler S.A. Tamburro J.E. Honda K. Gosain A.K. Bordeaux J.S. Surgical management of congenital dermatofibrosarcoma protuberans. J Am Acad Dermatol. 2009; 61: 1014-1023https://doi.org/10.1016/j.jaad.2009.05.028 Abstract Full Text Full Text PDF PubMed Scopus (53) Google Scholar , 2 Dwyer M. Anita Engh M. Hammond L. et al. NCCN guidelines version 1.2019 dermatofibrosarcoma protuberans. https://www.nccn.org/professionals/physician_gls/pdf/dfsp.pdfDate accessed: March 22, 2022 Google Scholar , 3 Hao X. Billings S.D. Wu F. et al. Dermatofibrosarcoma protuberans: update on the diagnosis and treatment. J Clin Med. 2020; 9: 1752https://doi.org/10.3390/jcm9061752 Crossref PubMed Scopus (62) Google Scholar Despite the National Comprehensive Cancer Network guidelines, racial and ethnic differences in the utilization of MMS among adults with DFSP exist. 4 Moore K.J. Chang M.S. Weiss J. Olbricht S.M. Hartman R.I. Racial and ethnic differences in the surgical treatment of dermatofibrosarcoma protuberans: a retrospective cohort analysis. J Am Acad Dermatol. 2022; 87: 245-247https://doi.org/10.1016/j.jaad.2021.08.010 Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar However, similar analyses have not been reported in pediatric patients with DFSP. Therefore, we aimed to investigate the factors associated with the utilization of MMS versus WLE among pediatric patients with DFSP using the Surveillance, Epidemiology, and End Results (SEER) database and the National Cancer Database (NCDB). The methods are available via Mendeley at https://data.mendeley.com/datasets/5hj58nn7kr/2. This study was exempt from institutional review board approval.
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