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Metastatic carcinoma : Abstract. Atypical fibroxanthoma (AFX) and pleomorphic dermal sarcoma (PDS) tumors share many clinical, etiologic, and histologic features and likely represent components of a tumor spectrum. In dermatologic oncology, differentiating between AFX and PDS is pivotal as tumors with histological features consistent with PDS are more likely to behave in a clinically aggressive manner. Atypical fibroxanthoma (AFX) is a tumor that occurs primarily in older individuals after the skin of the head and neck has been damaged significantly by sun exposure and/or therapeutic radiation. The body of literature supporting the use of Mohs micrographic surgery (MMS) in tumors outside the main indications (basal cell carcinoma, squamous cell carcinoma, dermatofibrosacroma protuberans, lentigo maligna) is constantly growing, but it is still based on case reports, case series, or at best institutional case series that focus on a single malignancy.
The tumor is composed of pleomorphic cells with hyperchromatic nuclei and abundant cytoplasm, commonly arranged in a spindle cell pattern. Diagnosis of atypical fibroxanthoma is with biopsy. Tumors are excised, or Mohs micrographic surgery—in which tissue borders are progressively excised until specimens are tumor-free (as determined by microscopic examination during surgery)—is done if clinically appropriate. Metastasis is unusual. Prevention 2017-07-31 · Atypical fibroxanthoma (AFX) and pleomorphic dermal sarcoma (PDS) tumors share many clinical, etiologic, and histologic features and likely represent components of a tumor spectrum. In dermatologic oncology, differentiating between AFX and PDS is pivotal as tumors with histological features consistent with PDS are more likely to behave in a clinically aggressive manner. Importantly, the term ABSTRACT Background Atypical fibroxanthoma is a rare mesenchymal tumor of the head and neck region.
(See also Overview of Skin Cancer .) Atypical fibroxanthomas are uncommon but usually occur on the head and neck of older people. Diagnosis of atypical fibroxanthoma is with biopsy. Tumors are excised, or Mohs micrographic surgery—in which tissue borders are progressively excised until specimens are tumor-free (as determined by microscopic examination during surgery)—is done if clinically appropriate.
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Uderm, PLLC is a locally-based dermatology practice offering Mohs Specialist | Mohs Surgeon | Houston | The Woodlands | Springs | Katy. ( AFX) Atypical fibroxanthoma is a type of tumor that effects primarily in older With Mohs micrographic surgery the recurrence was 0%, and with wide local excision it was 8.7%. WLE with 2 cm margins was recommended to ensure 96.6 % The tumor was diagnosed as atypical fibroxanthoma (AFX).
Document Grep for query "J Vet Sci." and grep phrase ""
Procedure Details. This 79 year old male was referred by his dermatologist for an atypical fibroxanthoma that was found on the scalp. His biopsy was performed by his dermatologist and he was referred to Skin Cancer Consultants for Mohs surgery and Plastic Surgery.
Mohs micrographic surgery was performed in May 2006 and no recurrence was noted in one year of
Mohs Micrographic Surgery differs from wide local excision in that it removes skin cancer one small layer at a time.
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Histologically, a dermal based, well circumscribed tumor composed of pleomorphic, irregularly arranged, spindled to epithelioid cells with numerous mitotic figures.
Rare keratinocytic tumours include Merkel cell carcinoma (MCC), cutaneous Paget's disease and atypical fibroxanthoma.
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Atypical fibroxanthoma usually appear as pink-red raise areas What is the treatment of atypical fibroxanthoma? Atypical fibroxanthoma is treated by complete surgical excision. Small lesions may be removed by curettage. Mohs micrographic surgery is becoming the treatment of choice for large or recurrent lesions, as it reliably removes the complete tumour while sparing surrounding normal healthy tissue. What is the outcome for atypical fibroxanthoma? Background: Atypical fibroxanthoma (AFX) is a fibrohistiocytic tumor with relatively high local recurrence rates but low metastatic potential. Wide local excision (WLE) and Mohs micrographic surgery (MMS) are common treatments, although no consensus exists regarding optimal therapy.