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Clinical Note
March 1998

Multispecialty Approach to Complex Dermatofibrosarcoma Protuberans of the Forehead

Author Affiliations

From the Department of Dermatology, University of California, Davis.

Arch Otolaryngol Head Neck Surg. 1998;124(3):324-327. doi:10.1001/archotol.124.3.324

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.