We describe a 38-year-old woman with extensive dermatofibrosarcoma protuberans of the forehead and discuss the advantages of using a multispecialty approach in the treatment of this case. The patient had had an incomplete resection 15 years previously, with a misdiagnosis of the actual tumor type. After undergoing a biopsy and a computed tomographic scan, the patient underwent Mohs micrographic surgery, followed by split-thickness grafting. Ultimate reconstruction was performed 15 months later using bilateral temporoparietal fascial flaps, in addition to split-thickness grafting. The patient remains tumor-free 3 years after resection.
Haas AF, Sykes JM. Multispecialty Approach to Complex Dermatofibrosarcoma Protuberans of the Forehead. Arch Otolaryngol Head Neck Surg. 1998;124(3):324-327. doi:10.1001/archotol.124.3.324