Tariq Mufti, M. Saeed Khan, Muzher -U- Dua, Farah Waqar


An old lady of 58 years’ age presented with a huge soft
tissue mass over left pectoral region which was
gradually increasing in size over the last 5-ycars.
Patient also gives history' of recent appearance of
constant dull pain and low grade fever (<100Fo) for the
last 3-4 months. CT Scan revealed a soil tissue sub
cutaneous mass extending from the dermis downwards
without rib erosion. X-Ray chest clear and USG
abdomen was normal. Excisional biopsy revealed
Dermatofibrosarcoma protuberans. After wound
healing, external radiation on 10Mev electron beam
(Varianclinac-20) with direct anterior field
encompassing nearly upper 2/3 of left chest wall and
delivering a tumor dose of 48 grays at I cm depth in 16
treatments. 3 ’A weeks’ time as ϵ 300 cgys daily.
The tumor bed can be radiated on cobolt -60 (Mega
voltage beam) with tangential fields to mid line dose
of 60 grays in 30 fractions for 6 weeks

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