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BASICS IN DERMATOLOGIC SURGERY
Wide local excision under 1% lidocaine for DERMATOFIBROSARCOMA protuberance. A perfect outcome for our patient.
The main therapies for dermatofibrosarcoma protuberans (DFSP) are surgical and systemic. Surgical removal is the standard of care, with Mohs micrographic surgery being the preferred method for achieving clear margins and reducing recurrence. For inoperable or metastatic DFSP, systemic therapy with imatinib (a tyrosine kinase inhibitor) or radiation therapy may be used.

Surgical therapy
Standard excision: Complete surgical removal with wide margins is necessary to prevent recurrence. The recommended margin is typically 3 cm.
Mohs micrographic surgery (MMS): This is the preferred surgical approach for its high cure rate (nearly 100%) and to minimize the recurrence rate. It involves checking the edges of the removed tissue under a microscope during the surgery to ensure no cancer cells remain.
Excision of deep fascia: Removing the deep fascia layer seems important to ensure any infiltrating tumor cells are removed.
Reconstruction: After the tumor is removed, the resulting defect is repaired using sutures, a flap, or a graft.
Wide local excision is the standard treatment for dermatofibrosarcoma protuberans (DFSP), a rare and locally aggressive skin sarcoma, and involves surgically removing the tumor along with a 2–3 cm margin of healthy tissue to prevent recurrence. While wide excision is the gold standard, some surgeons also recommend Mohs micrographic surgery, a technique that removes tissue layer by layer to maximize tumor removal while minimizing the loss of healthy tissue.
I have performed here wide local excision under local
Anesthesia with perfect clinical
Outcome for the patient.