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Recurrent dermatofibrosarcoma protuberans over anterior abdominal wall.
Ashok Y Kshirsagar1, Sujata R Kanetkar, Yogesh P Nikam
1Department of Surgery, Krishna Institute of Medical Sciences, Deemed University, Karad, Maharashtra, India.
Journal of Cutaneous and Aesthetic Surgery
|March 25, 2011
Summary
Recurrent dermatofibrosarcoma protuberans, a rare soft tissue tumor, was diagnosed in a patient presenting with a slow-growing epigastric swelling. This case highlights the importance of vigilance for recurrence of this challenging skin cancer.
Area of Science:
- Dermatology
- Surgical Oncology
- Pathology
Background:
- Dermatofibrosarcoma protuberans (DFSP) is a rare, low-grade malignant neoplasm of the skin.
- DFSP typically presents as a slow-growing, locally aggressive tumor with a high rate of recurrence.
- Recurrence after surgical excision necessitates careful monitoring and potentially further treatment.
Observation:
- A 45-year-old female presented with a painless, slowly enlarging epigastric swelling over one year.
- The patient had a history of a similar swelling excised at the same location seven years prior.
- The current presentation indicated a recurrence of the previously diagnosed condition.
Findings:
- Histopathological examination confirmed the presence of a neoplastic lesion.
- Immunohistochemical (IHC) analysis was crucial in identifying the specific tumor type.
- The diagnosis was established as recurrent Dermatofibrosarcoma Protuberans.
Implications:
- This case underscores the propensity of DFSP for recurrence, even after complete excision.
- Accurate histopathological and IHC diagnosis is vital for appropriate management of DFSP.
- Long-term follow-up is essential for patients with a history of DFSP to detect recurrences early.
