2016, Number 1
<< Back Next >>
Dermatología Cosmética, Médica y Quirúrgica 2016; 14 (1)
Atrophic dermatofibrosarcoma protuberans: A case report
Bósquez D, Martíz AA, McKeever C, Ríos YJM
Language: Spanish
References: 16
Page: 71-74
PDF size: 461.14 Kb.
ABSTRACT
Dermatofibrosarcoma protuberans (DFSP) is an uncommon
malignant mesenchymal tumor that arises in the dermis and is
characterized by a prolonged latency which delays its detection.
The atrophic or morphea-like DFSP is a rare form of the disease
that resembles other benign lesions such as morphea, idiopathic
atrophoderma, atrophic scar, anetoderma or lipoatrophy. It
behaves like classic DFSP and commonly affects young to middle
aged adults. It has a slow infiltrative growth pattern and a high
rate of local recurrences if not completely excised. Metastases
are rare and occur after multiple local recurrences. Surgical
excision is the first line of treatment. Long term follow up is
required to detect recurrence. We report a case of an atrophic
DFSP in which the diagnosis was achieved according to clinical,
histopathological and immunohistochemical findings. The tumor
was completely excised with safety margins and the patient
is currently under follow up.
REFERENCES
Lee, S.J., Mahoney, M.C. y Shaughnessy, E., “Dermatofibrosarcoma protuberans of the breast: imaging features and review of the literature”, Am J Roentgenol, 2009, 193: W64-699.
Gloster, H.M. Jr., “Dermatofibrosarcoma protuberans”, J Am Acad Dermatol, 1996, 35: 355-374.
Lambert, W.C., Abramovits, W., González-Sevra, A., Souchon, E., Schwartz, R.A. Little, W.P. Jr., “Dermatofibrosarcoma non-protuberans: description and report of five cases of a morpheaform variant of dermatofibrosarcoma”, J Surg Oncol, 1985, 28: 7-11.
Young, C.R. III y Albertini, M.J., “Atrophic dermatofibrosarcoma protuberans: case report, review, and proposed molecular mechanisms”, J Am Acad Dermatol, 2003, 49: 761-764.
Criscione, V.D. y Weinstock, M.A., “Descriptive epidemiology of dermatofibrosarcoma protuberans in the United States, 1973 to 2002”, J Am Acad Dermatol, 2007, 56: 968-973.
Martin, L., Combemale, P., Dupin, M., Chouvet, B., Kanitakis, J., Bouyssou- Gauthier, M.L. et al., “The atrophic variant of dermatofibrosarcoma protuberans in childhood: a report of six cases”, Br J Dermatol, 1998, 139: 719-725.
Marini, M., Saponaro, A., Magariños, G., De Baldrich, A., Lynch, P. y Remorino, L., “Congenital atrophic dermatofibrosarcoma protuberans”, Int J Dermatol, 2001, 40: 448-450.
Page, E.H. y Assaad, D.M., “Atrophic dermatofibroma and dermatofibrosarcoma protuberans”, J Am Acad Dermatol, 1987, 17: 947-950.
Fujimoto, M., Kikuchi, K., Okochi, H. y Furue, M., “Atrophic dermatofibrosarcoma protuberans: a case report and review of the literature”, Dermatology, 1998, 196: 422-424.
Liansheng, L., Xialiang, L., Yaodong, Z., Yajun, X. y Meiqing, L., “Report of two cases of recurrent scalp dermatofibrosarcoma protuberans and literature review”, Indian J Dermatol, 2014, 59: 602-605.
Angouridakis, N., Kafas, P., Jerjes, W., Triaridis, S., Upile, T., Karkavelas, G. et al., Dermatofibrosarcoma protuberans with fibrosarcomatous transformation of the head and neck”, Head Neck Oncol, 2011, 3: 5.
Raashid, H., Inaam, Z., Aadil, H., Darzi, M.A., Rasool, A., Abdul, H. et al., “Dermatofibrosarcoma protuberans of penis: case report and literature review”, Urol Ann, 2014, 6: 258-260.
Mendenhall, W.M., Zlotecki, R.A. y Scarborough, M.T., “Dermatofibrosarcoma protuberans”, Cancer, 2004, 101: 2503-2508.
Rutkowski, P., Wozniak, A. y Switaj, T., “Advances in molecular characterization and targeted therapy in dermatofibrosarcoma protuberans”, Sarcoma, 2011: 1-6.
Johnson-Jahangir, H. y Ratner, D., “Advances in the management of dermatofibrosarcoma protuberans”, Dermatol Clin, 2011, 29: 191-200.
Gloster, H.M. Jr, Harris, K.R. y Roenigk, R.K., “A comparison between Mohs micrographic surgery and wide surgical excision for the treatment of dermatofibrosarcoma protuberans”, J Am Acad Dermatol, 1996, 35: 82-87.