Dermatofibrosarcoma protuberans (DFSP)

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Painless cutaneous mass progressively increasing in size at the cervicodorsal region.

Patient Data

Age: 65 years
Gender: Female

Large well-defined lobulated dermal and subcutaneous soft tissue mass of the cervicodorsal region, isodense to the muscles on non-enhanced images with a heterogeneous enhancement. No apparent invasion of the adjacent paraspinal muscles.

Left breast nodule with foci of macrocalcification (ultrasound +/- mammography was requested).

Case Discussion

MRI features of heterogeneously enhancing dermal and subcutaneous soft tissue mass, histologically proven as a dermatofibrosarcoma protuberans (DFSP).

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