Dermatofibrosarcoma protuberance

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Left chest wall palpable mass.

Patient Data

Age: 55 years
Gender: Female

A 70×28 mm subcutaneous well defined enhancing soft tissue density mass is present at left posterolateral aspect of chest wall. 

Case Discussion

Pathology report :
Microscopic: Sections show skin tissue with proliferation of spindle cells in dermis arranged as storiform pattern and reveal mild nuclear pleomorphism and scattered mitoses.
Diagnosis: Consistent with dermatofibrosarcoma protuberance.

Dermatofibrosarcoma protuberans is a low-grade malignant tumor arising from dermal and subcutaneous tissues and is the most common cutaneous sarcoma most commonly found at the trunk and proximal extremities

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