Localization on the palmar face of the hand of a Darier-Ferrand dermatofiborosarcoma. About a case

Darier-Ferrand dermatofibrosarcoma is a rare but not exceptional malignant mesenchymal skin tumor, representing 0.1 % of malignant skin tumors. It is characterized by high recurrence, slow growth and low metastatic potential. Although several clinical cases of an unusual variant of Darier-Ferrand dermatofibrosarcoma have been reported in the literature, localization on the palmar face of the hand is not common. We report a case of Darier and Ferrand dermatofibrosarcoma at the level of the fourth commissure of the palm of the left hand in a 43- year-old young Malagasy adult treated by a large surgical excision with a healthy margin of two centimeters associated with adjuvant chemotherapy with Imatinib.

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THE ALGORITHM OF PROVIDING MEDICAL PREVENTIVE CARE OF PATIENTS OF RISK GROUP OF DEVELOPMENT OF MALIGNANT TUMORS OF SKIN

Health Care of the Russian Federation ◽

10.18821/0044-197x-2017-61-5-257-262 ◽

2019 ◽

Vol 61 (5) ◽

pp. 257-262

Author(s):

M. A. Ufimtseva ◽

Alexandra S. Shubina ◽

N. L. Struin ◽

V. V. Petkau ◽

D. E. Emel’Yanov ◽

...

Keyword(s):

Medical Care ◽

Preventive Care ◽

Malignant Tumors ◽

Risk Group ◽

Risk Groups ◽

Skin Tumors ◽

Skin Tumor ◽

Visual Localization ◽

Malignant Skin Tumors ◽

Malignant Skin

The malignant skin tumors are neoplasms of visual localization and their diagnostic is extremely complicated because of diversity of their clinical forms. Among all skin malignant tumors, a melanoma holds a particular place being socially important problem because of high level of lethality related to significant metastatic potential of tumor and lower efficiency of therapy of later forms of disease. The article describes development and implementation of algorithm of rendering medical preventive care to patients of risk group of development of malignant skin tumor on the basis of investigation of actual epidemiological situation with morbidity of basalioma, melanoma, squamous cell carcinoma of skin in population of the Sverdlovsk region during 2000-2015 and detection of factors conditioning late diagnostic of malignant skin tumors. According to actual epidemiological data, an increasing of morbidity of both melanoma and other malignant skin tumors is observed in the Russian Federation on the whole and in the Sverdlovsk region. The article pays attention to that physicians of various specialties are to timely send patients of risk groups or with «suspicious» neoplasms to dermatovenerologist to specify character of neoplasm and to resolve issue concerning necessity of dispensary observation. The necessity is noted of tighter interaction of dermatoverologists and oncologists. Thereby, implementation of algorithm of rendering medical care to patients of risk groups of malignant skin tumors in the Sverdlovsk region promotes increasing of quality and accessibility of medical care to population, earlier detection of patients, decreasing of load of oncologic service by non-profile patients.

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