Darier-Ferrand dermatofibrosarcoma of the abdomen: reconstruction using negative pressure wound therapy with locally available materials and cover by split thickness skin graft | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 25 May 2025 | ||
| Document Type: Case Report | ||
| DOI: 10.21608/ejprs.2025.326840.1384 | ||
| Authors | ||
| Kaba Lancine; Asséré Aboh* ; Touré Ibrahiman; Leh Bi Kalou | ||
| ALASSANE OUATTARA UNIVERSITY | ||
| Abstract | ||
| Background : Darier-Ferrand dermatofibrosarcoma (DFS) is a rare skin tumor. Darier-Ferrand dermatofibrosarcoma is characterized by frequent relapses, chronic development and low metastatic potential. Complete surgical resection with wide excision and systematic excision of a healthy anatomical barrier is considered like the gold-standard therapy. After Darier-Ferrand dermatofibrosarcoma’s resection, it happened a skin defect,which was covering by several surgical techniques especially controlled wound healing with skin graft or flap. We report a case of Darier-Ferrand dermatofibrosarcoma multi-recurrence’s skin defect treated by controlled wound healing using negative pressure wound therapy( NPWT) with local material. Case presentation : a 32-year-old Ivorian man.his medical history of recurrent abdominopelvic DFS for 7 years, for which he had undergone two surgical excisions in another medical center. On physical examination, multiple tumors were observed extending from the abdominal wall in supra-umbilical region. After discussion in a multidisciplinary meeting, we opted for wide local excision with systematic excision of a healthy anatomical barrier. The abdominal wall reconstruction was made by controlled wound healing using NPWT with split thickness skin graft. Conclusion :NPWT with local material, resection in addition to traumatic and infectious etiologies is an good alternative for reconstructive surgery to cover the defect after DFS’ surgical despite limits in low-income country. | ||
| Keywords | ||
| Darier-Ferrand disease; negative pressure wound therapy; skin graft | ||
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