A Case of a Large, Painful Dermatofibrosarcoma Protuberans Arising from a Traumatic Scar

Main Article Content

Daniel Fischer
Graham H. Litchman https://orcid.org/0000-0002-9530-3383

Keywords

Dermatofibrosarcoma Protuberans, DSFP, malignancy, traumatic, scar

Abstract

Here we report a case of dermatofibrosarcoma protuberans (DFSP) that presented originally to the emergency department with chief complaint of ‘chest pain arising from a chest wall mass’. This case is unique for multiple reasons including the fact that the DFSP caused this patient severe pain that radiated from the site of the mass to the patient’s back. The lesion originated from a traumatic scar that the patient had obtained following a car accident two years prior to presentation. In addition, the DFSP was significantly larger in size than what has typically been reported in the literature. This case illustrates that DFSP has the potential to present with multiple atypical features.

References

1. Wu S, Huang Y, Li Z, Wu H, Li H. Collagen Features of Dermatofibrosarcoma Protuberans Skin Base on Multiphoton Microscopy. Technol Cancer Res Treat. 2018;17:1533033818796775.

2. Angouridakis N, Kafas P, Jerjes W, et al. Dermatofibrosarcoma protuberans with fibrosarcomatous transformation of the head and neck. Head Neck Oncol. 2011;3:5.

3. Harati K, Lange K, Goertz O, et al. A single-institutional review of 68 patients with dermatofibrosarcoma protuberans: wide re-excision after inadequate previous surgery results in a high rate of local control. World J Surg Oncol. 2017;15(1):5.

4. Kreicher KL, Kurlander DE, Gittleman HR, Barnholtz-Sloan JS, Bordeaux JS. Incidence and Survival of Primary Dermatofibrosarcoma Protuberans in the United States. Dermatol Surg. 2016;42 Suppl 1:S24-S31.

5. Archontaki M, Korkolis DP, Arnogiannaki N, et al. Dermatofibrosarcoma protuberans: a case series of 16 patients treated in a single institution with literature review. Anticancer Res. 2010;30(9):3775-3779.

6. Lemm D, Mügge LO, Mentzel T, Höffken K. Current treatment options in dermatofibrosarcoma protuberans. J Cancer Res Clin Oncol. 2009;135(5):653-665.

7. de Araujo RN, Marcarini R, Ferreira BDFM, Obadia DL. Dermatofibrosarcoma protuberans rapid growth after incisional biopsy. Medicina Cutánea Ibero-Latino-Americana. 2017;45(1):41-44.

8. Tanaka A, Hatoko M, Tada H, Kuwahara M, Iioka H, Niitsuma K. Dermatofibrosarcoma protuberans arising from a burn scar of the axilla. Ann Plast Surg. 2004;52(4):423-425.

9. Saeki H, Kadono T, Le Pavoux A, Mori E, Tamaki K. Dermatofibrosarcoma protuberans with COL1A1-PDGFB fusion transcript arising on a scar due to a previous drainage tube insertion. J Dermatol. 2008;35(10):686-688.

10. Yang H, Yu L. Cutaneous and Superficial Soft Tissue CD34+ Spindle Cell Proliferation. Arch Pathol Lab Med. 2017;141(8):1092-1100.

Most read articles by the same author(s)