Open AccessDermatofibrosarcoma protuberans: Male breast
Author(s) -
Vinod Prabhu,
Aslam Shivani,
SH Kulkarni,
Vishrabdha Pawar
Publication year - 2014
Publication title -
medical journal of dr. d y patil university/medical journal of dr. d.y. patil university
Language(s) - English
Resource type - Journals
eISSN - 2278-7119
pISSN - 0975-2870
DOI - 10.4103/0975-2870.122796
Subject(s) - dermatofibrosarcoma protuberans , medicine , malignancy , dermatofibrosarcoma , sarcoma , wide local excision , biopsy , soft tissue , fine needle aspiration , core biopsy , radiology , surgery , dermatology , pathology , breast cancer , cancer
Dermatofibrosarcoma protuberans (DFSP) is a rare skin tumor of the dermal layer. Incidence is only about one case per million per year. It is a cutaneous soft tissue sarcoma that rarely metastasizes but it has got a malignant potential in 2% of cases. The challenge with DFSP is that the malignant potential of this tumor depends on the components histologically and on immunohistochemistry. The second challenge is that these tumors cannot be diagnosed on fine needle aspiration and require a core or incisional biopsy. Only in nodular stage we have to diagnose DFSP. This case presented in a male patient simulating malignancy of breast and fine needle aspiration cytology was inconclusive. The treatment also poses a challenge as not all surgeons are well versed with Moh′s surgery and hence here local wide resection was done. All margins were free. Although chemotherapy forms a part of treatment, it is reserved for large and recurrent tumors