Table 3.

A literature review of DFSP of the head and neck region

Author	Year	No. of patients	Surgery	Reconstruction method	Recurrence	Conclusion
Leon Barnes [6]	1984	17	Wide local excision (WLE)	Primary/Grafting	53%	Prognosis is related to the adequacy of excision, number of local recurrence, and histological appearances
Rufus J. Mark [7]	1993	16	WLE	Primary/grafting	56%	Wide surgical resection achieving good margins offers an excellent probability of cure
Timothy L. Parker [8]	1995	7	MMS	Five patients had primary, one with cheek advancement, one with the secondary intension	No recurrence at 3 years median follow-up	Mohs surgery excises DFSP with maximum tissue conservation and a high cure rate
Chuan K Koh [9]	1995	8	WLE	Primary excision and graft	12.5%	Local recurrence is frequent. Wide surgical excision is the treatment of choice
Scott M. Gayner [10]	1997	32	WLE		34% (11 patients)	Should use surgical margins of 2 cm
Alexander Stojadinovic [11]	2000	33 (21 primaries, 12 recurrences)	WLE		9% (3 patients)	Local recurrence-free survival depends on a negative histological margin. The frozen section analysis may not be accurate
William David Tom [12]	2003	Nine patients (2 recurrences, seven primaries)	MMS		0 (median follow-up 43 months)	Wide local excision with 2- to 3-cm margins results in an unacceptably high recurrence rate; larger excisional margins are necessary to remove all disease
Thiele OC [13]	2009	Seven patients (recurrent)	WLE	Five required grafts, two closed local advancement	Two recurred, and salvage surgery for both	Radical surgical removal is the treatment of choice
Able González [14]	2020	41 patients	MMS	MMS excision and grafts	One patient (2.4%)	MMS should be the standard treatment for DFSP