The Consequences of a “Harmless” Frontal Swelling
A 31-year-old man without antecedent illnesses and in good general condition was referred because of a painless, but growing and cosmetically disturbing swelling on the forehead, which he had first noticed some 9 months previously. It had reached the size of ca. 2 × 1 cm before subtotal excisional biopsy in another institution. The histopathological examination revealed a dermatofibrosarcoma protuberans of the facial skin; multiple further surgical procedures were needed before an R0 resection could be achieved.The resulting cutaneous defect was as large as the palm of a hand. Because of its size, the defect was allowed to heal by secondary intention in combination with a meshed split-thickness skin graft, yielding an adequate cosmetic result. This case underscores the importance of a differential diagnostic work-up even for seemingly harmless cosmetic flaws.
Dr. med. univ. Dr. med. dent. Florian J. Kupilas, M.Sc., D.A.L.M., Prof. Dr. med. Dr. med. dent. Johannes Kleinheinz,
Klinik für Mund-, Kiefer- und Gesichtschirurgie, Universitätsklinikum Münster, firstname.lastname@example.org
Conflict of interest statement: The authors state that they have no conflict of interest.
Cite this as: Kupilas FJ, Kleinheinz J: The consequences of a harmless frontal swelling. Dtsch Arztebl Int 2018; 115: 344.
Translated from the original German by Ethan Taub, M.D.