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Related Experiment Videos

Dermatofibrosarcoma with lymph node involvement

M E Mavili1, K G Gursu, A Gokoz

  • 1Department of Plastic and Reconstructive Surgery, Hacettepe University Medical School, Ankara, Turkey.

Annals of Plastic Surgery
|April 1, 1994
PubMed
Summary
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Dermatofibrosarcoma protuberans (DFSP) can metastasize to lymph nodes. This case highlights the importance of regional lymph node examination during long-term follow-up for DFSP patients.

Area of Science:

  • Oncology
  • Dermatology
  • Surgical Pathology

Background:

  • Dermatofibrosarcoma protuberans (DFSP) is a rare, slow-growing cutaneous tumor.
  • DFSP is known for local aggressiveness and infrequent distant metastasis.
  • Lymph node metastasis from DFSP is exceptionally rare.

Observation:

  • A case of DFSP on the lower extremity is presented.
  • Metastasis to inguinal lymph nodes occurred 10 months post-excision and grafting.
  • The patient's primary lesion was treated with wide excision and skin grafting.

Findings:

  • Literature review identified 28 patients with DFSP metastasis, including 9 with lymph node involvement.
  • This case adds to the small number of documented regional lymph node metastases in DFSP.

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  • Clinical and pathological features of this DFSP metastasis are detailed.
  • Implications:

    • While 10 cases do not warrant routine lymph node dissection for DFSP, they underscore its possibility.
    • Regular regional lymph node examination is crucial for long-term DFSP surveillance.
    • This emphasizes the need for vigilant follow-up in DFSP management.