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Dermatofibrosarcoma Protuberans of the Suprapubic Region: A Rare Clinical Entity

Gaurav Aggarwal, Priyanka Aggarwal

Abstract


Introduction: Dermatofibrosarcoma Protuberans (DFSP), an incompletely understood disease entity, has been reported in literature at different sites. However, the suprapubic region as its location further adds to its unusual persona.

Case: A 51 year old gentleman presented with a slow growing suprapubic lesion, which on clinical and laboratory evaluation was confirmed to be a Dermatofibrosarcoma Protuberans, subsequently managed adequately with wide excision and groin flap coverage.

Conclusion: Dermatofibrosarcoma Protuberans, in itself, is a rare entity and the suprapubic region as its location further adds to the unknown persona of the condition. Thus, the importance of maintaining a vigil for DFSP even at the most unusual sites, for optimal and timely diagnosis and management. As is rightly said, “What the mind knows, is what the eyes see”.


Keywords


Dermatofibrosarcoma Protuberans; Suprapubic region; groin flap; unusual site

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References


Criscione VD, Weinstock MA. Descriptive epidemiology of dermatofibrosarcoma protuberans in the United States, 1973 to 2002. J Am Acad Dermatol. 2007;56:968–73.

McArthur GA. Dermatofibrosarcoma Protuberans: A Surgical disease with a molecular savior. Curr Opin Oncol. 2006, 18:341-346

Lim EK, Lin VC, Yu T-J, Chang HC. Suprapubic Dermatofibrosarcoma Protuberans: Case Report and Literature Review. JTUA. 2008, 19:232-234

Minter RM, Reith JD, Hochwald SN. Metastatic potential of dermatofibrosarcoma protuberans with fibrosarcomatous change. J Sur Oncol. 2003, 82:201-208

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