06/22/2018    

RESPONSES/COMMENTS - (CLINICAL)

RE: Dermal Sarcoma

 

These photos show a dermal sarcoma that tripled in size over a 6-week period. The patient initially presented with a small lesion that a previous DPM tried to aspirate with no success. When I initially saw him, I told him we needed to excise the mass on an outpatient basis. Due to vacations, both his and mine, and failure to get authorization from his insurance company in a timely manner, we had to wait 6 weeks for the surgery.

 

Sarcoma pre-op, the excised lesion, and regrowth

 

The first photo shows what it looked like prior to that surgery. After the path report came back as dermal sarcoma, I spoke to his oncologist who said radiation would be necessary once healed, however within a 4-week period, the growth returned. The oncologist said to re-excise the mass, which we did this past Friday with extra wide margins. Once healed, he will have radiation. The path report once again said dermal sarcoma. It should be noted that after the first procedure, both a PET scan and CT scan where essentially negative, except for the obvious hot spot localized in the foot.

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