Dermatofibrosarcoma protuberans: An unusual case of breast
Dermatofibrosarcoma protuberans: An unusual case of breast
Dermatofibrosarcoma protuberans (DFSP) is a rare tumor of the breast. It is locally aggressive tumor with high rate of local recurrences.A 64 years-old female patient had recurrent large two DFSP lesions in left breast 14 months after the segmental mastectomy. Nodistant metastasis was detected. The patient underwent mastectomy. She refused adjuvant treatment. Despite wide resection wasperformed in the second surgery, the disease recurred again. As a conclusion, unless effective adjuvant treatments and medicationsare not present, surgical excision is crucial to prevent recurrence.
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- 1. Criscione VD, Weinstock MA. Descriptive epidemiology of dermatofibrosarcoma protuberans in the United States, 1973 to 2002. J Am Acad Dermatol 2007;56:968–73.
- 2. Gloster HM Jr. Dermatofi brosarcoma protuberans. J Am Acad Dermatol 1996 ; 35 ( 3 Pt 1 ):355–74 .
- 3. Mendenhall WM, Zlotecki RA, Scarborough MT. Dermatofibrosarcoma protuberans.Cancer 2004;101:2503-8.
- 4. Yanan Li, Chuan Wang, Bo Xiang, et al. Clinical Features, Pathological Findings and Treatment of Recurrent Dermatofibrosarcoma Protuberans. J Cancer 2017;8:1319-23.
- 5. Llombart B, Serra-Guillen C, Monteagudo C et al. Dermatofibrosarcoma protuberans: a comprehensive re¬view and update on diagnosis and management. Semin Diagn Pathol 2013;30:13-28.
- 6. Hoffman E. Über das knollentreibende fibrosarkom der haut (About the dermatofibrosarcoma protuberans of the skin). Acta Dermatol Venereol Suppl (Stockh) 1925;43:1‑28 .
- 7. Geisler DP, Boyle MJ, Malnar KF et al. Phyllodes tumors of the breast: a review of 32 cases. Am Surg 2000;66:360–6.
- 8. Barwani ASA, Taif S, Mazrouail RAA, et al. Dermatofibrosarcoma Protuberans: Insights into a Rare Soft Tissue Tumor. J Clin Imaging Sci 2016;6:2 .
- 9. Balcı AE, Çakmak M, Polatoğlu S et al. Göğüs Duvarında Dermatofibrosarkoma Protuberans: Olgu Sunumu. Firat Med J 2019;24:47-9.
- 10. Kim MJ, Hur MS, Choi BG et al. Pedunculated nodules as a variant of dermatofibrosarcoma protuberans. Ann Dermatol 2016;28:629-31.
- 11. Reha J, Katz SC. Dermatofibrosarcoma Protuberans. Surg Clin North Am 2016;96:1031–46.
- 12. Kreicher KL, Kurlander DE, Gittleman HR et al. Incidence and survival of primary dermatofibrosarcoma protuberans in the United States. Dermatol Surg 2016;42:24–31.
- 13. Bulliard C, Murali R, Chang LY et al. Subcutaneous dermatofibrosarcoma protuberans in skin of the breast: May mimic a primary breast lesion. Pathology 2007;39:446-8.
- 14. Fiore M, Miceli R, Mussi C et al. Dermatofibrosarcoma protuberans treated at a single institution: a surgical disease with a high cure rate. J Clin Oncol 2005;23:7669-75.
- 15. Criscito MC, Martires KJ, Stein JA. Prognostic factors, treatment, and survival in dermatofibrosarcoma protuberans. JAMA Dermatol 2016;152:1365-71 .
- 16. Dagan R, Morris C, Zlotecki R et al. Radiotherapy in the treatment of dermatofibrosarcoma protuberans. Am J Clin Oncol 2005;28:537-39.
- 17. Wang C, Luo Z, Chen J et al. Target therapy of unresectable or metastatic dermatofibrosarcoma protuberans with imatinib mesylate: An analysis on 22 Chinese patients. Medicine (Baltimore) 2015;94:e773.
- 18. Liang CA, Jambusaria-Pahlajani A, Karia PS et al. A systematic review of outcome data for dermatofibrosarcoma protuberans with and without fibrosarcomatous change. J Am Acad Dermatol 2014;71:781–6.
- 19. Karamustafaoğlu YA, Reyhan G, Top H et al. Dermatofibrosarkom protüberans. Turkish J Thorac Cardiovasc Surg 2009;17:282-4.
- 20. Ahmad I, Mir MA, Bariar LM et al. Recurrent Dermatofibrosarcoma Protuberance and its Management with Radical Excision and Interval Skin Grafting: A Case Report Wjp 2016;5:1.
- 21. Parker TL, Zitelli JA. Surgical margins for excision of dermatofibrosarcoma protuberans. J Am Acad Dermatol 1995;32(2 Pt 1):233–36.
- 22. Dragoumis DM, Katsohi LA, Amplianitis IK et al. Late local recur¬rence of dermatofibrosarcoma protuberans in the skin of female breast. World J Surg Oncol 2010;8:48.