Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a slow-growing, painless, or mildly tender subcutaneous mass, most commonly located in the extremities. Duration of symptoms is [Duration]. Patient denies rapid recent expansion, systemic B-symptoms, or neurological deficits. History is significant for [Prior trauma/radiation/excision].
Clinical Examination Findings
Physical examination reveals a firm, multinodular, non-mobile mass measuring [Size] cm. Overlying skin may show telangiectasia or subtle discoloration. Palpation confirms deep fascial plane involvement. No regional lymphadenopathy detected. Neurovascular status of the affected limb is intact.
Treatment Protocol
Surgical management involves wide local excision (WLE) with negative margins (R0). Given the infiltrative nature of Myxofibrosarcoma, a margin of at least 2-3 cm is recommended. Reconstruction options include primary closure, local rotational flaps, or free tissue transfer depending on defect size and anatomical location. Adjuvant radiotherapy may be indicated for high-grade lesions or positive margins.