Ann Dermatol.  2007 Sep;19(3):129-132. 10.5021/ad.2007.19.3.129.

A Case of Atrophic Dermatofibrosarcoma Protuberans

Affiliations
  • 1Department of Dermatology, Hanyang University, College of Medicine, Seoul, Korea. yuhjoon@hanyany.ac.kr

Abstract

Atrophic dermatofibrosarcoma protuberans (DFSP) is a rare variant of DFSP, which presents as a depressed scar-like lesion with atrophic patch. Although atrophic DFSP is identical to classical DFSP in biologic and histologic features, such atrophic lesions can be difficult to diagnose clinically. Better knowledge of atrophic DFSP is important for making an early diagnosis and for proper surgical treatment. We report the case of a 33-year-old female presented with a gray depressed atrophic patch with a skin-colored, pea-sized nodule on the left lateral rim, and an erythematous indurated plaque on her upper back. Histopathologically, the atrophic patch showed densely packed, monomorphous, plump spindle cells arranged in a storiform pattern, infiltrating the dermis and subcutaneous tissue, producing a characteristic honeycomb pattern. The tumor cells exhibited strong and diffuse positivity with CD34, establishing the diagnosis of DFSP.

Keyword

Dermatofibrosarcoma protuberans

MeSH Terms

Adult
Dermatofibrosarcoma*
Dermis
Diagnosis
Early Diagnosis
Female
Humans
Subcutaneous Tissue
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