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Neoadjuvant imatinib therapy for dermatofibrosarcoma protuberans
Archives of Dermatology, 07/27/09
Han A et al. - In a study to evaluate retrospective data obtained from 4 pts with locally advanced or recurrent dermatofibrosarcoma protuberans (DFSP) who received neoadjuvant imatinib mesylate therapy before undergoing Mohs micrographic surgery, it appears that neoadjuvant imatinib therapy is a well-tolerated, novel approach to DFSP that reduces tumor burden and facilitates resection.
Methods- Retrospective data were evaluated that was obtained from 4 pts with locally advanced or recurrent DFSP who received neoadjuvant imatinib mesylate therapy before undergoing Mohs micrographic surgery.
- Pts treated with neoadjuvant imatinib therapy had an average tumor size reduction of 36.9%.
- This clinical response was paralleled by histopathologic changes, including decreased cellularity in 100% of the total area as well as significant hyalinization.
- Imatinib therapy for DFSP before Mohs micrographic surgery was associated with 100% local control at maximum follow-up of 4 yrs.
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