Mohs surgery best for removing DFSP?

Is Mohs surgery the best option or the gold standard for re-excision of a rather small (2x2x2 cm at primary removal) DFSP on the back?

3 answers to “Mohs surgery best for removing DFSP?”

A: Mohs for DFSP

Ronald Shelton, MD

Yes.  It is the gold standard as these neoplasms can involve the margins with standard excisions. Many Mohs surgeons often excise an additional layer of skin around the negative frozen section Mohs defect and submit it to a dermatopathology laboratory for permanent section analysis. Special stains may be... more

A: Mohs Surgery for DFSP

Jerome Potozkin, M.D.

DermatoFibrosarcoma Protuberans (DFSP) is not as common as other skin cancers treated with Mohs Surgery. Mohs Surgery is an excellent option for this tumor because it can often extend beyond the visible clinical margin of the tumor. Historically DFSPs have had very high local recurrence rates. Because of the... more

A: Mohs surgery for DFSP

Bryan K. Chen, MD

Good question.  DFSP or dermatofibrosarcoma protuberans is a tumor that can send out long "tentacles."  It is also a contiguous/continuous tumor which makes it amenable to Mohs surgery.  Mohs surgery allows for excellent margin control and is in fact the best option for... more

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Comments

Jo Hughes
1 post
18 May 2009

I have a basal cell about the size of a dime on my upper arm. The spot was removed a year ago by freezing - but it has returned. Do I need Hom's surgery to make sure they get it all.

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