Dermatofibrosarcoma protuberans occuring in a child

D Peschos1, P Dallas, A Doulis

  • 1Dept. of Forensic Medicine, Medical School, University of Ioannina, Greece.

Insights

Dermatofibrosarcoma protuberans (DFSP) is rare in children, making diagnosis challenging. This case highlights the importance of considering DFSP in pediatric patients with persistent skin lesions.

Area of Science:

  • Pediatric Oncology
  • Dermatopathology

Background:

  • Dermatofibrosarcoma protuberans (DFSP) is a rare skin neoplasm.
  • DFSP typically affects adults but can occur in pediatric patients.
  • Diagnosis in children is challenging due to rarity and varied presentation.

Observation:

  • An 11-year-old boy presented with a 2-year history of a gradually growing lesion on his right shoulder.
  • The lesion initially appeared as a red-brown plaque and evolved into a nodule.
  • The lesion was slightly raised and non-tender.

Findings:

  • Histological and immunohistochemical examination confirmed the diagnosis of DFSP.
  • DFSP is characterized as a borderline or intermediate malignancy.
  • It has a high recurrence rate but low metastatic potential.

Implications:

  • This case underscores the diagnostic difficulties of pediatric DFSP.
  • Early recognition and accurate diagnosis are crucial for appropriate management.
  • Understanding DFSP behavior in children is vital for long-term patient outcomes.

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