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Updated: Jul 4, 2026
06:05
Modified Radical Neck Dissection for Cervical Metastasis
Published on: February 20, 2026
Dermatofibrosarcoma protuberans of scalp with cervical lymph node metastasis
Pawan Lal1, Arun Goel, A K Mandal
1Department of Surgery Maulana Azad Medical College Associated Lok Nayak G.B. Pant Hospitals New Delhi 110002 India.
Sarcoma
|June 4, 2008
Summary
Dermatofibrosarcoma protuberans (DFSP), a rare skin tumor, can recur and metastasize. This case highlights a recurrent DFSP on the scalp with regional lymph node metastasis in a young patient.
Area of Science:
- Oncology
- Dermatology
- Surgical Pathology
Background:
- Dermatofibrosarcoma protuberans (DFSP) is a rare, slow-growing, locally aggressive skin neoplasm.
- Recurrence after surgical excision is common, but metastasis is exceptionally rare.
- Limited clinical experience exists for managing DFSP with metastatic disease.
Purpose of the Study:
- To report a rare case of recurrent dermatofibrosarcoma protuberans of the scalp with regional lymph node metastasis.
- To contribute to the limited literature on the management of metastatic DFSP.
Main Methods:
- Case report of a 17-year-old male with recurrent DFSP on the scalp.
- Surgical management included wide excision of the primary lesion and ipsilateral radical neck dissection.
- Histopathological examination confirmed DFSP and metastatic involvement.
Main Results:
- The patient presented with recurrent DFSP on the scalp and metastasis to regional lymph nodes.
- This represents the second reported case of DFSP involving the scalp and the 16th case of DFSP with regional lymph node metastasis.
- The described surgical intervention was performed.
Conclusions:
- Metastasis from DFSP, though rare, can occur, even in younger patients.
- Aggressive surgical management, including radical neck dissection, may be necessary for localized metastatic disease.
- Further research is needed to establish optimal treatment protocols for metastatic DFSP.
