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Dermatofibrosarcoma protuberans

C K Koh1, C B Ko, H P Bury

  • 1Department of Dermatology, Hull Royal Infirmary, England.

International Journal of Dermatology
|April 1, 1995
PubMed
Summary
This summary is machine-generated.

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Dermatofibrosarcoma protuberans (DFSP) is a rare skin tumor often misdiagnosed. Complete surgical removal is crucial to prevent frequent local recurrence, as DFSP has low metastatic potential.

Area of Science:

  • Oncology
  • Dermatology
  • Pathology

Background:

  • Dermatofibrosarcoma protuberans (DFSP) is a rare, challenging skin malignancy.
  • Clinical and histological diagnosis can be difficult.
  • DFSP has a low risk of metastasis but a high rate of local recurrence.

Purpose of the Study:

  • To review clinical and histological features of DFSP.
  • To analyze incidence, presentation, and outcomes of DFSP cases.

Main Methods:

  • Retrospective review of 19 DFSP cases.
  • Data collected from 1975 to 1992.
  • Involved dermatology and surgery departments.

Main Results:

  • 19 DFSP cases identified over 17 years.

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  • No clinical diagnosis prior to histology.
  • Most common in the 4th decade, often on the head and neck.
  • Eight local recurrences in five patients; no metastases.
  • Histology showed storiform-pattern spindle cells and collagen formation.

    • Conclusions:

    • DFSP is an often unrecognized soft tissue tumor due to rarity and variable appearance.
    • Local recurrence is common.
    • Wide surgical excision is the preferred treatment.