Dermatofibrosarcoma of the intergluteal cleft

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

An adult male complains of an enlarging intergluteal cleft soft tissue swelling.

Patient Data

Age: 32 years
Gender: Male

A sizable soft tissue mass lesion is seen involving the skin and subcutaneous adipose tissue the intergluteal cleft. It has a polypodial protrusion distally. It aproximates proximal and medially away from  the anal verge. It being away from the glutei muscles.

Groups of photos show the mass in its place then after excision. It appears large pedunculated and fleshy ulcerated. It is proved to be dermatofibarosarcoma after histopathology.

see below

Case Discussion

The typical appearance is that of an unmineralized, polypoidal soft-tissue mass involving the skin and subcutaneous adipose tissue. The large sizable intergluteal mass appears polypoidal and fleshy by examination and shows superficial ulceration.After surgical excision and histopathological examination that proved to be dermatofibrosarcoma which is a rare tumor.

The case is courtesy of Dr/ Wael Farouk, G. Surgery Consultant, Thanks to prof/Mamdouh Radwan for path. Photo.RCMC, Yanbu Al Sinaiyah.

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