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Dermatofibrosarcoma protuberance: case reports
M E Asuquo1, M S Umoh, G Ebughe
1Department of Surgery, University of Calabar Teaching Hospital, Calabar, Nigeria. mauefas@yahoo.com
Annals of African Medicine
|February 5, 2008
Summary
Dermatofibrosarcoma protuberance (DFSP) is a rare soft tissue tumor. Early diagnosis and complete surgical excision are crucial for preventing recurrence and improving patient outcomes.
Area of Science:
- Oncology
- Dermatopathology
- Surgical Pathology
Background:
- Dermatofibrosarcoma protuberance (DFSP) is a rare, low-grade soft tissue malignancy.
- DFSP has a high rate of local recurrence due to incomplete surgical resection.
- Metastasis is rare, but local invasion and recurrence are significant clinical challenges.
Observation:
- A retrospective case series of five DFSP patients treated between 2000-2004.
- Patient demographics: 2:3 male:female ratio, age range 17-35 years (mean 26.6).
- Common locations included neck, anterior chest wall, groin, and proximal thigh; three cases presented with recurrence.
Findings:
- Histologic diagnosis was confirmed post-excision for all reported cases.
- Recurrent lesions were observed in three out of five patients, highlighting the challenge of complete tumor removal.
- DFSP often presents as painless, cutaneous, multilobulated lesions.
Implications:
- Suspicion of DFSP should be raised for painless, cutaneous, multilobulated lesions.
- Pre-operative histologic diagnosis and thorough evaluation of resection margins are essential.
- Adequate surgical excision is key to improving outcomes and minimizing recurrence in DFSP management.
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