Surgical treatment of Dermatofibrosarcoma protuberans with a free anterolateral thigh (ALT) flap in an adolescent

Ernst Lodewicus Möller, Francois Malherbe, Christopher E Price


A 16-year-old male presented with a 2-year history of a 5 x 5 cm dermatofibrosarcoma protuberans (DFSP) on the medial aspect of his right lower leg. Wide local excision (WLE) with a 2cm margin was performed and a free anterolateral thigh (ALT) flap was used to reconstruct the defect. This technique satisfactorily reconstructed a large defect in an adolescent with minimal donor site morbidity, as the donor site was closed primarily, and a functionally and aesthetically acceptable outcome. There was no evidence of tumour recurrence at 6 months follow-up.



dermatofibrosarcoma protuberans; antero-lateral thigh flap; adolescent

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South African Journal of Surgery | Online ISSN: 2078-5151 | Print ISSN: 0038-2361 | Medpharm Publications

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