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Atypical fibroxanthoma: 10-year experience from a single unit

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Abstract

Atypical fibroxanthoma (AFX) is a cutaneous neoplasm of mesenchymal origin. The mainstay of treatment is complete surgical excision. Recurrence is estimated at between 2 and 20% and metastasis has previously been reported. This series presents a retrospective audit over 10 years, identifying 39 lesions in 28 patients. Complete excision was achieved in 27/28 cases and recurrence was noted in 8/28 (29%) including 3/28 (11%) re-recurrences. Recurrence occurred between 3 to 48 months. Re-recurrence was seen in three cases and no metastases were noted in this series. AFX should be considered as a differential diagnosis in patients presenting with nodular lesions in sun-exposed areas. Excision with a 3-mm margin is recommended, however, recurrence is common even after complete excision. Follow up is recommended once every 3 months for the first 2 years.

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Authors and Affiliations

  1. Department of Plastic Surgery, Stoke Mandeville Hospital, Aylesbury, HP21 8AL, UK

    A. J. P. Clover, A. Athanassopoulos, A. Hafeez & P. G. Budny

  2. Department of Hispathology, Stoke Mandeville Hospital, Aylesbury, HP21 8AL, UK

    R. Chakrobarty

Authors
  1. A. J. P. Clover
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  2. A. Athanassopoulos
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  3. A. Hafeez
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  4. R. Chakrobarty
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  5. P. G. Budny
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Correspondence to A. J. P. Clover.

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Clover, A.J.P., Athanassopoulos, A., Hafeez, A. et al. Atypical fibroxanthoma: 10-year experience from a single unit. Eur J Plast Surg 31, 51–54 (2008). https://doi.org/10.1007/s00238-008-0229-z

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  • DOI: https://doi.org/10.1007/s00238-008-0229-z

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