AI Article Synopsis

  • Dermatofibrosarcoma protuberans is a rare skin tumor with intermediate malignant potential, known for slow growth, local malignancy, and a high chance of recurrence.
  • It represents about 0.1% to 0.18% of all malignant skin tumors, most commonly occurring in individuals aged 20 to 40 years.
  • This study involved a retrospective analysis of 28 cases, focusing on the clinical features, histopathology, and immunohistochemistry of the tumor.

Article Abstract

Dermatofibrosarcoma protuberans of Darier and Ferrand is a mesenchymatous skin tumor of intermediate malignant potential, characterised by slow growth, local malignancy and a high rate of recurrence. It is a rare tumor, accounting for approximately 0.1% to 0.18% of all malignant skin tumors. Peak incidence of the disease is between 20 to 40 years of age. We report a retrospective study of 28 cases of dermatofibrosarcoma protuberans. We reviewed the clinical features, histopathological and immunohistochemical aspects of this tumor.

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Pathology and Histology Department, Salah Azaiez Institute of Cancer, Tunis University of Medicine, University Tunis El Manar, Tunis, Tunisia.

Article Synopsis
  • - DFSP (Darier Ferrand Dermatofibrosarcoma) is a rare, locally aggressive skin tumor that primarily affects young to middle-aged adults, with about 12.5% of cases occurring in the head and neck region.
  • - A specific case involved a 68-year-old patient with DFSP on the lower cheek, treated successfully with surgical removal and reconstruction using a pectoralis major musculocutaneous flap, resulting in a good aesthetic outcome.
  • - Effective treatment for DFSP involves complete surgical excision to ensure disease-free survival, emphasizing the importance of early diagnosis, especially for tumors located in the head and neck.
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Introduction And Importance: Darier-Ferrand dermatofibrosarcoma (DFS) is a rare mesenchymal tumor with an aggressive local behavior, high local recurrence frequency and low metastatic potential. It commonly presents as a raised slowly growing mass. It usually occurs on trunk and proximal extremities but rarely touches distal extremities such as hands, fingers, or foot below knees.

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Dermatofibrosarcoma is a rare skin tumor. Morphological characteristics can be misleading and unknown to most of physicians. Diagnostic delay may affect patient´s management and prognosis.

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Background: Darier-Ferrand dermatofibrosarcoma (DFS) is a rare malignant cutaneous neoplasm characterized by local aggressiveness, high risk of recurrence, and low metastatic potential.

Case Presentation: A 60-year-old Tunisian man with recurrent abdominopelvic DFS for which he had undergone multiple excisions presented with an extensive DFS that invaded the external genitals. He underwent a large excision with emasculation and thin cutaneous graft of the abdominal wall and local skin flap in the pelvis.

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Usually most patients with dermatofibrosarcoma protuberans (DFSP) may present rather late when the tumor is in protuberant phase due to its rarity and indolent onset. It has a high propensity for local recurrence and destructive nature. Management of DFSP requires a biopsychosocial and Multidisplinary approach regardless of the clinical or immunohistochemical variant.

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