Xiong JX, Cai T, Hu L, Chen XL, Huang K, Chen AJ, Wang P. Risk factors related to postoperative recurrence of dermatofibrosarcoma protuberans: A retrospective study and literature review. World J Clin Cases 2021; 9(20): 5442-5452 [PMID: 34307598 DOI: 10.12998/wjcc.v9.i20.5442]
Corresponding Author of This Article
Ping Wang, PhD, Doctor, Department of Dermatology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuzhong District, Chongqing 400010, China. wang_ping@zju.edu.cn
Research Domain of This Article
Dermatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Clin Cases. Jul 16, 2021; 9(20): 5442-5452 Published online Jul 16, 2021. doi: 10.12998/wjcc.v9.i20.5442
Table 1 Clinical characteristics of 44 patients with dermatofibrosarcoma protuberans
Factor
Total
Primary group
Recurrent group
P value
Sex
0.741
Male
21
9
12
Female
23
11
12
Onset age (mean ± SEM, yr)
31.82 ± 1.64
30.90 ± 2.34
32.58 ± 2.24
0.616
Duration (mean ± SEM, mo)
82.09 ± 12.19
54.50 ± 15.40
105.08 ± 16.63
0.037
Tumor diameter (mean ± SEM, cm)
3.61 ± 0.46
2.25 ± 0.36
4.75 ± 0.70
0.004
Location
0.540
Trunk
26
12
14
Other sites
18
10
8
Table 2 Detailed information of misdiagnosed patients with dermatofibrosarcoma protuberans
Characteristic
Total
No. of patients with recurrence
No. of patients without recurrence
Recurrence rate (%)
P value
With misdiagnosis history
25
17
8
68.00
Without misdiagnosis history
19
7
12
36.84
Total
44
24
20
54.55
0.04
Table 3 Recurrence details
Characteristic
No. of patients with recurrence
No. of patients without recurrence
Percentage (%)
P value
Sex
0.294
Male
1
21
6.67
Female
3
19
7.70
Onset age
0.130
< 50
3
38
7.89
≥ 50
1
2
3.33
Age at diagnosis
0.213
< 5 yr
1
23
4.17
≥ 5 yr
3
17
15.00
Tumor size
0.252
< 3 cm
1
22
4.35
≥ 3 cm
3
18
14.29
Location
0.773
Trunk
2
23
8.00
Other sites
2
17
10.52
Premier or recurrence
0.028
Premier
0
23
0
Recurrence
4
17
19.05
No. treatment
/
0
0
19
0
1
0
16
0
2
2
3
40
≥ 3
2
0
100
Table 4 Surgical characteristics of patients with dermatofibrosarcoma protuberans
Characteristic
No. of patients with recurrence
No. of patients without recurrence
P value
Resection margin
0.841
< 3 cm
2
17
≥ 3 cm
2
21
Unknown
0
2
Resection depth
0.120
Above the fascia layer
1
24
Below the muscular layer
3
13
Unknown
0
2
Table 5 Radiotherapy of patients with dermatofibrosarcoma protuberans
Radiotherapy group
Without radiotherapy group
P value
No. of patients without recurrence
3
35
No. of patients with recurrence
2
2
Recurrence rate (%)
33.33
5.41
0.013
Citation: Xiong JX, Cai T, Hu L, Chen XL, Huang K, Chen AJ, Wang P. Risk factors related to postoperative recurrence of dermatofibrosarcoma protuberans: A retrospective study and literature review. World J Clin Cases 2021; 9(20): 5442-5452