Table 1 Patient characteristics for dermatofibrosarcoma protuberans breast lesions treated by WLE
Age at surgery | Type of reconstruction | Quadrant location | Preoperative lesion size (cm) | Postoperative defect size (cm) | Complications and surgical interventions | Recurrence | Revision and reason | Closest microscopic margin (cm) | Intended gross margins (cm) | Number of intraoperative re-excisions | Prior surgeries | Follow-up |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
62 | Reverse abdominoplasty | Lower inner | 5.5 | 12.5 | None | None | None | 1 | 3 | 0 | None | 14 years |
30 | Pedicled myocutaneous latissimus dorsi flap | Upper outer | 6 | 8 | None | Yes | None | 0.9 | 1 | 1 | Wide local excision with TRAM flap and 2-month chemotherapy without radiation | 6 years |
50 | Local rotational flap | Lower inner | 5.7 | 9.3 | Seroma and superficial dehiscence at recipient site 32-day post-op aspirated and drain was placed | None | Excision of redundant IMF skin | 1 | N/A | 0 | Bilateral reduction mammoplasty and abdominoplasty | 6 years |
40 | Pedicled myocutaneous latissimus dorsi flap | Upper outer | 3.5 | 7.2 | None | None | Scar revision, liposuction of lateral chest wall and standing cone secondary to contour abnormalities | 1.7 | 2 | 1 | None | 1.4 years and ongoing |
38 | Two-stage implant-based reconstruction | Upper inner | 2.5 | Skin-sparing mastectomy | Recipient site full-thickness dehiscence 17-day postop surgically repaired | None | Implant exchange, bilateral capsulotomy with smooth round saline implant exchange secondary to marked distortion post tissue expansion | 1 | “Wide ellipse” | 1 | Bilateral prepectoral silicone implants | 29 years |
35 | Pie crusted split-thickness skin graft | Upper outer | 12 | 15 | Recipient site superficial dehiscence 39-day postop treated with silver nitrate and Xeroform | None | None | 1.7 | N/A | 1 | None | 16.3 years |
35 | Meshed split thickness skin graft | Upper inner | 5 | 10 | Recipient site mild skin breakdown and drainage at 4-month postop no intervention | None | None | 0.6 | N/A | 1 | None | 4 years |
55 | Integra and full-thickness skin graft | Upper inner | 12 | 17 | None | None | None | 1.5 | N/A | 1 | None | 25 months |
35 | Oncoplastic left breast reduction with contralateral breast reduction for symmetry | Lower inner | 1.8 | 7.5 | None | None | None | 0.3 | 2 | 0 | None | 3 years and ongoing |