{"id":"73070e95-ba13-4731-8f49-50aff02ff7fa","slug":"recurrence-case-of-rare-scalp-dermatofibrosarcoma-protuberans-two-case-reports-of-a-wide-radical-excision-craniectomy-bone-involvement-followed-by-cranioplasty-and-reconstruction","title":"Recurrence case of rare scalp dermatofibrosarcoma protuberans: Two case reports of a wide radical excision, craniectomy bone involvement followed by cranioplasty and reconstruction","authors":["Ahmad Faried","Wargian Hadisaputra","Muhammad Z. Arifin"],"abstract":"Background: Dermatofibrosarcoma protuberans (DFSP) is a rare low-grade sarcoma of the fibroblast originating from the dermal layer of the skin, characterized by a locally aggressive growth and high rate of local recurrence. Case Description: Two patients underwent a wide radical excision of recurrent scalp DFSP which was reconstructed with translational skin flap and split-thickness skin graft. We described above cases several years ago with a local excision of the tumor; recently, they developed local recurrence of DFSP with calvarial involvement. We then performed a wide radical excision, with craniectomy of the cranial defect followed by cranioplasty using titanium mesh, continuing with reconstruction. Conclusion: A successful treatment and management depends on achieving local control and preventing cosmetic and functional deficit; all efforts should be made for complete excision. Postoperative follow-up recommended for highly suspicious cases and annual checkups should be performed up to 5 years after definitive therapy.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/73070e95-ba13-4731-8f49-50aff02ff7fa/featured/hero-1782420848990.png","publishDate":"2017-05-26T00:00:00.000Z","doi":"10.4103/sni.sni_26_17","categories":["Neuro-oncology","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/73070e95-ba13-4731-8f49-50aff02ff7fa/pdf"}