Definitive cranioplasty and scalp reconstruction in recurrent dermato fibrosarcoma protuberance of scalp
Dermatofibrosarcoma protuberans (DFSP) of the scalp is a relatively uncommon soft-tissue neoplasm. Calvarial involvement can lead to a quick intracranial spread making the tumor incurable. The management of DFSP scalp, especially recurrent lesions with calvarial involvement should be a team approach...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2013-09-01
|
| Series: | Indian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.124241 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849435426397356032 |
|---|---|
| author | Ankur Bhatnagar Arun Srivastava Rakesh Kapoor |
| author_facet | Ankur Bhatnagar Arun Srivastava Rakesh Kapoor |
| author_sort | Ankur Bhatnagar |
| collection | DOAJ |
| description | Dermatofibrosarcoma protuberans (DFSP) of the scalp is a relatively uncommon soft-tissue neoplasm. Calvarial involvement can lead to a quick intracranial spread making the tumor incurable. The management of DFSP scalp, especially recurrent lesions with calvarial involvement should be a team approach with close cooperation between the neurosurgeon and the reconstructive surgeon. The failure to excise the underlying periosteum is one of the major reasons for early calvarial spread. At no stage adequate excision, i.e., 5 cm margin and removal of underlying periosteum should be compromised. In developing world where follow-up of patients is difficult and specialized health services are at a premium we believe that a wide surgical excision, including the underlying periosteum and cranioplasty followed by local flap cover if possible will provide the best results with the shortest downtime. |
| format | Article |
| id | doaj-art-e56c8c9aa95f4d8ebabc55ef5b48ecc9 |
| institution | Kabale University |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2013-09-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-e56c8c9aa95f4d8ebabc55ef5b48ecc92025-08-20T03:26:17ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672013-09-01020329429710.4103/2277-9167.124241Definitive cranioplasty and scalp reconstruction in recurrent dermato fibrosarcoma protuberance of scalpAnkur BhatnagarArun Srivastava0Rakesh KapoorNeuro Surgery, Sanjay Gandhi Post Graduate Institute of Medical SciencesDermatofibrosarcoma protuberans (DFSP) of the scalp is a relatively uncommon soft-tissue neoplasm. Calvarial involvement can lead to a quick intracranial spread making the tumor incurable. The management of DFSP scalp, especially recurrent lesions with calvarial involvement should be a team approach with close cooperation between the neurosurgeon and the reconstructive surgeon. The failure to excise the underlying periosteum is one of the major reasons for early calvarial spread. At no stage adequate excision, i.e., 5 cm margin and removal of underlying periosteum should be compromised. In developing world where follow-up of patients is difficult and specialized health services are at a premium we believe that a wide surgical excision, including the underlying periosteum and cranioplasty followed by local flap cover if possible will provide the best results with the shortest downtime.http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.124241cranioplastydermatofibrosarcomareconstructionscalp |
| spellingShingle | Ankur Bhatnagar Arun Srivastava Rakesh Kapoor Definitive cranioplasty and scalp reconstruction in recurrent dermato fibrosarcoma protuberance of scalp Indian Journal of Neurosurgery cranioplasty dermatofibrosarcoma reconstruction scalp |
| title | Definitive cranioplasty and scalp reconstruction in recurrent dermato fibrosarcoma protuberance of scalp |
| title_full | Definitive cranioplasty and scalp reconstruction in recurrent dermato fibrosarcoma protuberance of scalp |
| title_fullStr | Definitive cranioplasty and scalp reconstruction in recurrent dermato fibrosarcoma protuberance of scalp |
| title_full_unstemmed | Definitive cranioplasty and scalp reconstruction in recurrent dermato fibrosarcoma protuberance of scalp |
| title_short | Definitive cranioplasty and scalp reconstruction in recurrent dermato fibrosarcoma protuberance of scalp |
| title_sort | definitive cranioplasty and scalp reconstruction in recurrent dermato fibrosarcoma protuberance of scalp |
| topic | cranioplasty dermatofibrosarcoma reconstruction scalp |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.124241 |
| work_keys_str_mv | AT ankurbhatnagar definitivecranioplastyandscalpreconstructioninrecurrentdermatofibrosarcomaprotuberanceofscalp AT arunsrivastava definitivecranioplastyandscalpreconstructioninrecurrentdermatofibrosarcomaprotuberanceofscalp AT rakeshkapoor definitivecranioplastyandscalpreconstructioninrecurrentdermatofibrosarcomaprotuberanceofscalp |