Figure 1

Patient 1. (A) Clinical aspect of the residual lesion of dermatofibrosarcoma protuberans of the vulva before the surgery. (B) One year after the first surgery, a skin expander was placed. (C) The expander was taken out and the inferior 2/3 of the flap was split. (D) the distal portion was incised horizontally on both sides and folded after, in order to reconstruct the labius majoras. (E) Follow up after 8 weeks.