DERMATOFIBROSARCOMA PROTUBERANS: THE EXPERIENCES OF DIAGNOSIS AND TREATMENT THROUGH A RARE CASE REPORT

Các tác giả

  • Hien Le Thanh National Hospital of Dermatology and Venereology, Hanoi, Vietnam
  • Tam Vu Dinh National Hospital of Dermatology and Venereology, Hanoi, Vietnam
  • Quan Nguyen Dinh National Hospital of Dermatology and Venereology, Hanoi, Vietnam
  • Son Nguyen Hong
  • Quang Nguyen Huu

DOI:

https://doi.org/10.56320/tcdlhvn.42.135

Từ khóa:

skin sarcoma, dermatofibrosarcoma protuberans, DFSP, keloids, recurrent keloids

Tóm tắt

Background: Dermatofibrosarcoma protuberans (DFSP) is classified as a soft tissue sarcoma, representing a rare form of skin cancer. Despite its rarity, DFSP is acknowledged as the most common skin sarcoma. The clinical features of DFSP are highly varied, making early-stage diagnosis challenging. Treatment initiated at an advanced stage significantly increases the risk of DFSP recurrence.

Case Report: A 65-year-old female patient sought medical attention at our hospital due to a giant tumor on her central back. The lesion had initially appeared two years prior and had been initially misdiagnosed as keloids. Subsequently, the patient underwent intralesional steroid injections and surgery at a private clinic, but the lesion exhibited no improvement and relapsed within two months. Upon presenting to the National Hospital of Dermatology and Venereology, the patient displayed a brown-red raised tumor measuring approximately 8x4cm on her back. Given the suspicion of a cutaneous carcinoma, a biopsy was conducted. The histopathology and immunohistochemistry tests confirmed the diagnosis of DFSP. Consequently, the patient underwent wide excision of the lesion, including 3 cm of normal skin around it and deep into the fascia. No recurrence was recorded after one year of follow-up.

Conclusion: DFSP, a rare form of skin carcinoma, can be challenging to differentiate from various other conditions, including keloids. In cases where conventional treatments such as intralesional triamcinolone acetonide injection show poor improvement for suspected keloids, DFSP should be considered and confirmed through histopathology and immunohistochemistry tests.

Received 28 June 2023
Revised 26 September 2023
Accepted 29 November 2023

Tải xuống

Đã Xuất bản

21-01-2024

Cách trích dẫn

Le Thanh, H., Vu Dinh, T., Nguyen Dinh, Q., Nguyen Hong, S., & Nguyen Huu, Q. (2024). DERMATOFIBROSARCOMA PROTUBERANS: THE EXPERIENCES OF DIAGNOSIS AND TREATMENT THROUGH A RARE CASE REPORT. Tạp Chí Da liễu học Việt Nam, (42). https://doi.org/10.56320/tcdlhvn.42.135

Số

Chuyên mục

GIỚI THIỆU BỆNH NHÂN

Các bài báo được đọc nhiều nhất của cùng tác giả

<< < 1 2