{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T08:55:02Z","timestamp":1769504102149,"version":"3.49.0"},"reference-count":11,"publisher":"Royal College of Surgeons of England","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p> Pleomorphic dermal sarcoma is a rare neoplasm of mesenchymal origin that most commonly affects the head. We describe the presentation of a 61-year-old man with a 10-week history of an exophytic lesion affecting the occipital scalp, demonstrating rapid growth. The final histopathology revealed a completely excised 9cm pleomorphic dermal sarcoma (pT2aN0M0, Stage 3), one of the largest such lesions reported in the literature to date. This patient\u2019s management involved a wide local subperiosteal excision onto the cranium, with a reconstruction with an Integra dermal regeneration template (Integra LifeSciences, Princeton, NJ, USA) and healing with secondary intention. This was mainly due to poorly defined clinical margins on primary excision, the potential for further excision of involved margins (later confirmed as not needed) and the patient\u2019s comorbidities, making a return to theatre for definitive reconstruction undesirable. <\/jats:p>","DOI":"10.1308\/rcsann.2021.0052","type":"journal-article","created":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T10:14:57Z","timestamp":1684145697000},"page":"e9-e11","source":"Crossref","is-referenced-by-count":3,"title":["Surgical management of advanced pleomorphic dermal sarcoma of the occipital scalp"],"prefix":"10.1308","volume":"104","author":[{"given":"KB","family":"Patel","sequence":"first","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JV","family":"Williams","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"EM","family":"Baxter","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Chengot","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JD","family":"Parmar","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"C1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2017.08.094"},{"key":"C2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.2979"},{"key":"C3","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-224483"},{"key":"C4","doi-asserted-by":"publisher","DOI":"10.1007\/s11864-017-0489-6"},{"key":"C5","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2014.07.187"},{"key":"C6","doi-asserted-by":"publisher","DOI":"10.1002\/jso.20972"},{"key":"C7","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-019-2093-9"},{"key":"C8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ad.2018.06.012"},{"key":"C9","doi-asserted-by":"publisher","DOI":"10.5021\/ad.2016.28.5.632"},{"key":"C10","doi-asserted-by":"publisher","DOI":"10.1097\/PAS.0b013e31825359e1"},{"key":"C11","doi-asserted-by":"publisher","DOI":"10.1111\/cup.12603"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/rcsann.2021.0052","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T10:17:03Z","timestamp":1684145823000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/rcsann.2021.0052"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1308\/rcsann.2021.0052"],"URL":"https:\/\/doi.org\/10.1308\/rcsann.2021.0052","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}