Dermatofibrosarcoma protuberans

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Abstract
A case of dermatofibrosarcoma protuberans seen at the West Virginia University Medical Center is reviewed. Seven inadequate local resections of the primary tumor resulted in a solitary pulmonary metastasis and two intrathoracic pleural wall recurrences. These events necessitated two thoracotomies for removal of the pulmonary lesion and one chest wall recurrence. The second chest mass one year later was unresectable. Treatment with cobalt therapy, Methotrexate, Cytoxan and Actinomycin D is planned.

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