← Return to FS-DFSP (Fibrosarcomatous dermatofibrosarcoma): Anyone else?

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Good morning,
I had a tumor behind my right ear resulting in unplanned surgical removal as well by a general surgeon who diagnosed it as a cyst. During the surgery it was described to be the size of a key lime attach to my skull and to be not what they thought it was. They sent it of to pathology and 2 days later it came back as Fibrosarcoma-DFSP aggressive malignancy type. Needless to say reading this in my chart without any doctor reaching out to warn me or consult....I was beside myself and went through every emotion possible. I was sent to Florida Cancer Speacalist who quickly reacted by getting me in to Moffitt which I am so greatfull for the doctor realizing it would be in my best interest and treatment outcome to be treated by Moffitt. Moffitt has been great and they have experience with this type of sarcoma. They suggested targeted radiation which I have 3 treatments left before they will go in using MOHS technique to clear the margins, followed by healing and second surgery for closer of the surgical site by a plastic surgeon. The radiation was scary at first due to the location but honestly I have not had any bad side effects but maybe a little tiredness and of course hair loss on the radiation site. I work a full time job and only missed 1 day of work during the radiation treatment. Is the radiation they suggested to you, little cat targeted to the specific area? I would definitely look at all your options. I can say my FS-DFSP started as the classic version DFSP which is said to be benign however if gone untreated which mine was untreated for many years due to lack of knowledge, it can mutate and become malignant. I suggest talking indepth with doctors and acting as soon as possible. They usually suggest radiation to control size of tumor and possible shrink for more concise and manageable surgery with best possible outcome. Unfortunately our type of rare cancer is to often mis diagnosed resulting in unplanned surgery and no clear margins. This is not the best and oncologist are left cleaning up the mishaps of these unplanned surgerys. I am so sorry you are going through this and we are here for you little cat. I will send healing prayers 🙏 up for you. I also suggest taking advantage of talking with mental health staff to help guide you through this journey you and we are on. GOD bless you and may he guide you and the doctors involved in your care resulting in you regaining your health back. I have not bought a lottery ticket either lol but I have left it in God's hands and I am living one day at a time stress free thanks to God. Love you all and I will remain an advocate for people with cancer as well as continue to update my story.

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Replies to "Good morning, I had a tumor behind my right ear resulting in unplanned surgical removal as..."

Hi @cmiller1122

Mine is classic DFSP, luckily the less aggressive one. It has been my back over 10 years as I thought it was scar onlyat that time, my careless. I did wide excision surgery and all margins are clear. Doctor suggested me to do radiation to get lower recurrence rate. But I don't want to because it would hurt my kidney, the tumor located in my lower back which close to my kidney. So I decided keeping long term regular check to monitor. Luckily you have Mohs surgery, my city doesn't has Mohs but only wide excision. Mohs is the best surgery method for DFSP. All the best

@cmiller1122 update: I finished my radiation which went well. Experience was mild redness and hair loss in the targeted area which was minimal and not noticeable with hair worn down. The radiation was low dose and targeted which leaves me the option of future use if reoccurance does happen. Following radiation I underwent 1st stage of surgery to remove cancer using technique wide excision radical resection. In previous communication I had mentioned MOHS techniques which I thought was the technique being considered and used. When speaking with my surgeon she stated since the cancer has the FS component and is aggressive it is best to go with the wide excision technique, also something to note I did not know is when this type of cancer is cut into it has a tendancy to seed and grow in the cut line, which in my opinion explains why wide excision a more aggressive approach was used. Following the surgery they covered open wound using a negative pressure dressing stitched in. First surgery completed on the 7/10/26 with cleared deep margins achieved at 0.1 cm removed tumor/diseased skin measuring 3 x 36 x 0.2 cm resulting in clear margins succesful clear margins. Also noted was after radiation their was no more detection of the FS, only DFSP from surgical pathology. I am doing well so far and just preparing for the second stage of the surgery which I'd the reconstruction fhase set for 7/28/26 which can be anywhere between 5 to 8 hours do due possible skin graft locations. I will keep this updated as thing progress. Also I am documenting my experience on my Facebook page so if interested you can find me under Charity Miller located her in florida. Please feel free to share any information on this cancer or any other cancer on my page. May God bless us all in this journey.