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Breast Cancer

, Volume 4, Issue 1, pp 53–56 | Cite as

A case of dermatofibrosarcoma protuberans in the skin over the breast

  • Tohru Sakuragi
  • Kumi Fujiwara
  • Sadako Akashi-Tanaka
  • Hitoshi Tsuda
  • Takashi Fukutomi
Case Report

Abstract

Dermatofibrosarcoma protuberans (DFSP) is a slow-growing but locally aggressive, fibrous tumor that has a high rate of local recurrence after surgical resection. This tumor occurs most commonly in the trunk and proximal extremities. In this report we present a case of dermatofibrosarcoma protuberans in the skin over the breast which was re-excised after pathological diagnosis, considering cosmetic aspects. Only three other cases of dermatofibrosarcoma protuberans of the anterior chest wall have been encountered in our hospital, and all of these cases were male. The presence of this tumor in the skin over the breast appears to be rare in females. Careful complete resection is recommended for this type of tumor.

Key words

Dermatofibrosarcoma protuberans Cosmetic surgery Breast tumor 

Abbreviations

DFSP

Dermatofibrosarcoma protuberans

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References

  1. 1).
    Taylor HB, Helwing EB: Dermatofibrosarcoma protuberans; A study of 115 cases.Cancer 15:717–725, 1962.PubMedCrossRefGoogle Scholar
  2. 2).
    Bendix-Hansen K, Myhre-Jensen O, Kaae S: Dermatofibrosarcoma protuberans; A clinicopathological study of nineteen cases and a review of the world literature.Scand J Plast Reconstr Surg Hand Surg 17: 247–252, 1983.CrossRefGoogle Scholar
  3. 3).
    Roses DF, Valensi Q, La Trenta G,et al: Surgical treatment of dermatofibrosarcoma protuberans.Surg Gynecol Obstet 162:449–452, 1986.PubMedGoogle Scholar
  4. 4).
    Mark RJ, Bailet JW, Tran LM,et al: Dermatofibrosarcoma protuberans of the head and neck; A report of 16 cases.Arch Otolaryngol Head Neck Surg 119:891–896, 1993.PubMedGoogle Scholar
  5. 5).
    Eisen RN, Tallini G: Metastatic dermatofibrosarcoma protuberans with fibrosarcomatous change in the absence of local recurrence; A case report of simultaneous occurrence with a malignant giant cell tumor of soft parts.Cancer 72:462–468, 1993.PubMedCrossRefGoogle Scholar
  6. 6).
    Darier J, Ferrand M: Dermatofibromes progressifs et recidivants ou fibrosarcomes de la peau.Ann Dermatol Syphilol 5:545–562, 1924.Google Scholar
  7. 7).
    Hoffmann E: Uber das knollentreibende fibrosarkom der haut.Dermatol Ztschr 43:1–28, 1925.Google Scholar
  8. 8).
    McPeak CJ, Cruz T, Nicastri AD: Dermatofibrosarcoma protuberans; An analysis of 86 cases, five with metastasis.Ann Surg 166:803–816, 1967.PubMedCrossRefGoogle Scholar
  9. 9).
    Sauter LS, DeFeo CP: Dermatofibrosarcoma protuberans of the face.Arch Dermatol 104:671–674, 1971.PubMedCrossRefGoogle Scholar
  10. 10).
    Sei Y, Kimura A, Kobayashi H: Dermatofibrosarcoma protuberans representing a depressed lesion; A case report and statistics of 267 cases in Japan.Hifu 28:638–643, 1986 (in Japanese).Google Scholar
  11. 11).
    Hashimoto K, Brownstein MH, Jakobiec FA: Dermatofibrosarcoma protuberans; A tumor with perineural and endoneural cell features.Arch Dermatol 110:874–885, 1974.PubMedCrossRefGoogle Scholar
  12. 12).
    Parker TL, Zitelli JA: Surgical margins for excision of dermatofibrosarcoma protuberans.J Am Acad Dermatol 32:233–236, 1995.PubMedCrossRefGoogle Scholar
  13. 13).
    Jimenez FJ, Grichnik JM, Buchanan MD,et al: Immunohistochemical margin control applied to Mohs Micrographic surgical excision of Dermatofibrosarcoma protuberans.J Dermatol Surg Oncol 20:687–689, 1994.PubMedGoogle Scholar
  14. 14).
    Haaggensen CD: Diseases of the Breast, 3rd ed, WB Saunders, Philadelphia, pp315–317, 1986.Google Scholar

Copyright information

© The Japanese Breast Cancer Society 1997

Authors and Affiliations

  • Tohru Sakuragi
    • 1
  • Kumi Fujiwara
    • 2
  • Sadako Akashi-Tanaka
    • 1
  • Hitoshi Tsuda
    • 2
  • Takashi Fukutomi
    • 1
  1. 1.Department of SurgeryNational Cancer Center HospitalChuo-ku, TokyoJapan
  2. 2.Pathology DivisionNational Cancer Center Research InstituteJapan

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