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Metastasising dermatofibroma or dermatofibroma-like dermatofibrosarcoma protuberans?
C S Dunkin1, A B MacGregor, K McLaren
1Department of Surgery, Royal Infirmary of Edinburgh, U.K.
Journal of the Royal College of Surgeons of Edinburgh
|May 24, 2000
Summary
Dermatofibroma, a common skin tumor, can rarely metastasize. This case highlights a cellular dermatofibroma with widespread metastasis, emphasizing the need for vigilant follow-up.
Area of Science:
- Oncology
- Dermatopathology
Background:
- Dermatofibroma is a common, typically benign skin tumor.
- Local recurrence is frequent, but metastasis is exceptionally rare.
Observation:
- A case of cellular dermatofibroma in the lower limb is presented.
- The tumor recurred locally and metastasized to the abdominal wall, chest wall, and lungs 30 months post-excision.
Findings:
- This case demonstrates rare, widespread metastasis from a dermatofibroma.
- Histologically, the tumor was a cellular dermatofibroma.
Implications:
- Patients with dermatofibroma, especially those with unusual histological features, require long-term follow-up.
- Vigilance for metastasis is crucial, even in typically benign skin tumors.