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Recurrent dermatofibrosarcoma protuberans: challenging a surgeon's dexterity for the 'tricky' margins
Deepak Kumar Diwakar1, Nikita Wadhwani1, Shivani Paruthi1
1Department of General Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110 029, India.
Ecancermedicalscience
|September 4, 2018
Summary
Dermatofibrosarcoma protuberans (DFSP) of the breast is exceptionally rare in men. This case highlights the successful management of recurrent breast DFSP in a male patient through wide local excision and latissimus dorsi flap reconstruction.
Area of Science:
- Oncology
- Surgical Oncology
- Dermatopathology
Background:
- Soft tissue tumors of the breast are rare, accounting for 0.2%-1% of all breast malignancies.
- Dermatofibrosarcoma protuberans (DFSP) is an exceptionally uncommon breast malignancy, particularly in male patients.
Observation:
- A case of recurrent DFSP in a 35-year-old male breast is presented, occurring 8 years after initial treatment.
- The recurrence was located in the region of a previous surgical scar.
Findings:
- The recurrent breast DFSP was managed with wide local excision.
- Reconstruction was successfully performed using a latissimus dorsi flap.
Implications:
- Vigilant resection and careful management of recurrent DFSP are crucial.
- Post-operative margin status is a key determinant for preventing recurrence in DFSP.
- Minimizing patient morbidity while ensuring complete tumor resection is essential for managing recurrent DFSP.
