İHMAL EDİLMİŞ VE DEV BOYUTLARA ULAŞMIŞ DERMATOFİBROSARKOMA PROTUBERANS OLGULARI

Dermatofibrosarkoma protuberans (DFSP), düşük metastaz oranı olan ve yüksek rekürrens oranına sahip cildin dermal tabakasından kaynaklanan lokal agresif bir tümördür. Bu çalışmada literatürde çok nadir görülebilen büyüklükte iki olgu raporlanmaktadır. Her iki olguda da geniş lokal eksizyon yapıldı. Özellikle DFSP fibrosarkomatöz varyantı çok daha titizlikle değerlendirilmesi gereken bir neoplazmdır. Malignensi oranı bu alt tipte çok keskin bir şekilde yükselmekte, iyi prognoz kötüleşmektedir. DFSP, her klinisyenin cilt ile aynı renkte olan ve ağrısız büyüme gösteren plak veya nodüller durumunda düşünmesi gereken bir ön tanı olmalıdır

DERMATOFIBROSARCOMA PROTUBERANS CASES WHICH NEGLECTED AND REACHED GIANT SIZES

Dermatofibrosarcoma protuberans (DFSP) is a locally aggressive tumor that originated from the dermal layer of the skin with a low rate of metastasis and high recurrence rate. In this study, two cases with the size of which was seen very rarely in the literature are reported. In both cases, wide local excision was performed. In particular, DFSP fibrosarcomatous variant is a neoplasm that much more needs to be rigorously evaluated. Malignancy rate increases very sharply at this subtype, the good prognosis is worse. DFSP should be a preliminary diagnosis for all clinicians in case of painless growing skin plaques or nodules which are the same color with the skin

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