- 期刊
Dermatofibrosarcoma Protuberans (DFSP) of the Scalp with Left Neck Lymph Node Metastasis-A Case Report
頭皮突出性皮纖維肉瘤之左頸部淋巴結轉移－病例報告
摘要
突出性皮纖維肉瘤是一種少見的皮膚腫瘤，它的局部復發率高而轉移率低。根據文獻記載，此症發生遠端轉移的機會比局部淋巴轉移還高。局部病灶治療方法主要靠廣範圍手術切除。一位病患在四歲時被診斷罹患頭皮突出性皮纖維肉瘤。四次局部復發之後，他在十九歲時被發現左頸淋巴結有腫瘤轉移。當時頭皮並無腫瘤。病患之前局部復發的頭皮腫瘤以手術切除方式處理，而本次左頸轉移病灶則接受根除性淋巴廓清術治療。病患未接受放射線治療或化學治療。經追蹤治療達三年，無疾病復發情形。就突出性皮纖維肉瘤而言，此為少見的淋巴轉移病例。相關文獻亦被瀏覽以處理此類病人。
關鍵字
無資料並列摘要
Dermatofibrosarcoma protuberans (DFSP) is an unusual skin malignancy, which is locally invasive and rarely metastasizes. According to the literature, DFSP with distant metastasis is more often than regional lymph node involvement. Treatment of local DFSP is mainly surgical. A patient was noted with scalp DFSP when aged 4. Then he sustained four times of local recurrences, and left neck lymph node metastasis happened at age 19. No concurrent scalp DFSP was identified when the neck metastatic lesion was found. The previously recurred tumors were all excised, while we removed the metastatic lesion by radical neck dissection. Neither radiotherapy nor chemotherapy was done. We followed the patient for up to three years and no evidence of disease was found. DFSP with regional lymphatic metastasis is rarely seen, and literature is reviewed for the management of such patients.
延伸閱讀
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