J Breast Dis.
2023 Dec;11(2):53-58. 10.14449/jbd.2023.11.2.53.
The Subcutaneous Variant Dermatofibrosarcoma Protuberans of the Breast With Nipple Areolar Complex Invasion Treated With Central Lumpectomy: A Case Report
- Affiliations
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- 1Departments of Surgery, Chonnam National University Medical School and Chonnam National University Hwasun Hospital, Hwasun-gun, Korea
- 2Departments of Radiology, Chonnam National University Medical School and Chonnam National University Hwasun Hospital, Hwasun-gun, Korea
- 3Departments of Pathology, Chonnam National University Medical School and Chonnam National University Hwasun Hospital, Hwasun-gun, Korea
- 4Department of Surgery, Chonnam National University Medical School and Chonnam National University Hospital, Gwangju, Korea
- KMID: 2549897
- DOI: http://doi.org/10.14449/jbd.2023.11.2.53
Abstract
- Dermatofibrosarcoma protuberans (DFSP) is a rare low-grade soft tissue sarcoma and the breast is less commonly affected than the torso. DFSP can be misdiagnosed as neurofibroma, desmoid tumor, malignant melanoma, or Kaposi sarcoma. A variant of DFSP originates from the subcutaneous layer and is called subcutaneous variant dermatofibrosarcoma protuberans (SC-DFSP). It can be easily confused with breast phyllodes tumor, myofibroblastoma, myoepithelioma, or advanced breast cancer, such as fibromatosis-like metastatic carcinoma. Following punch biopsy, the treatment of choice for breast DFSP is complete excision with negative margins ≥ 2 cm. We present a case of breast SC-DFSP with nipple areolar complex invasion.
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