From Diagnosis to Treatment: Dermatofibrosarcoma Protuberance – A Case Report

Authors

  • Samah Dehda
  • Samir Derouiche
  • Ouahab Abdelmalek
  • Sahli Allel
  • Benazza Ali
  • Yahla Fatiha
  • Mohammed Kerkoubi

Keywords:

Dermatofibrosarcoma protuberans, cutaneous sarcoma, wide local excision

Abstract

Dermatofibrosarcoma protuberans (DFSP), also known as Darier–Ferrand dermatofibrosarcoma, is a rare soft tissue neoplasm and the most common type of cutaneous sarcoma. It is characterized by slow growth and a low metastatic potential, although it presents a high risk of local recurrence, mainly related to the quality of surgical excision. The standard treatment is wide local excision performed by an experienced multidisciplinary team. In locally advanced, unresectable, or metastatic forms, radiotherapy and targeted therapy with imatinib may be considered. We report the case of a 27-year-old man who underwent surgical treatment for dermatofibrosarcoma protuberans located in the left hypochondriac region

Downloads

Download data is not yet available.

References

1. Menon G, Brooks J, Ramsey ML. Dermatofibrosarcoma Protuberans. [Updated 2024 Apr 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513305/

2. Deffner F, Magradze G, Melzer K, et al. Impact of histological and clinical parameters on resection status and recurrence probability in head and neck basal cell carcinomas. Front Oncol. 2025;15:1679804.

3. Oikonomidi C, Lagogianni E, Filippou D, Chrysikos D. Dermatofibrosarcoma Protuberans: A Rare Anatomical Location of Dermal Sarcoma. Cureus. 2025;17(10):e93809.

4. Eason CR, Stovall C, Corley SB. Ulcerated indurated plaques on the upper extremities. JAAD Case Rep. 2019;5(9):749-751.

5. Nimodia D, Dudhe S, Parihar PH, Patil R, Kotla R, Choudhary A. From subtle to striking: A rare case of dermatofibroma protuberans and its clinical journey. Radiol Case Rep. 2025;20(5):2557-2561. Published 2025 Mar 8. doi:10.1016/j.radcr.2025.02.045

6. Petrovic V, Petrovic A, Nikolic IR, et al. Immunohistochemical Pattern of CD34 Distribution in Different Types of Basal Cell Carcinoma and in Peritumoral Skin. Medicina (Kaunas). 2026;62(1):158. Published 2026 Jan 13. doi:10.3390/medicina62010158

7. Das S, Ahlawat S. Beyond COL1A1::PDGFB: Rare fusions and their clinical implications in dermatofibrosarcoma protuberans. World J Clin Cases. 2025;13(33):113167. doi:10.12998/wjcc.v13.i33.113167

8. Carrasquillo OY, Cancel-Artau KJ, Ramos-Rodriguez AJ, Cruzval-O'Reilly E, Merritt BG. Mohs Micrographic Surgery Versus Wide Local Excision in the Treatment of Merkel Cell Carcinoma: A Systematic Review. Dermatol Surg. 2022 Feb 1;48(2):176-180. doi: 10.1097/DSS.0000000000003331.

9. Wang X, Meng J, Zhang X, et al. The Role of Radiotherapy for Patients with Unresectable Locally Advanced Breast Cancer following Neoadjuvant Systemic Therapy. J Oncol. 2023;2023:5101078. Published 2023 Feb 17. doi:10.1155/2023/5101078

10. Jozwik M, Bednarczuk K, Osierda Z. Dermatofibrosarcoma Protuberans: An Updated Review of the Literature. Cancers (Basel). 2024;16(18):3124. Published 2024 Sep 11. doi:10.3390/cancers16183124

11. Hao X, Billings SD, Wu F, Stultz TW, Procop GW, Mirkin G, Vidimos AT. Dermatofibrosarcoma Protuberans: Update on the Diagnosis and Treatment. J Clin Med. 2020 Jun 5;9(6):1752. doi: 10.3390/jcm9061752. PMID: 32516921; PMCID: PMC7355835.

12. Llombart B, Serra C, Requena C, Alsina M, Morgado-Carrasco D, Través V, Sanmartín O. Guidelines for Diagnosis and Treatment of Cutaneous Sarcomas: Dermatofibrosarcoma Protuberans. Actas Dermosifiliogr (Engl Ed). 2018 Dec;109(10):868-877. English, Spanish. doi: 10.1016/j.ad.2018.05.006. Epub 2018 Jul 4. PMID: 30539729.

13. Bilger G, Nicolaï M, Perez M, Simon, E.. Cas clinique: reconstruction par abdominoplastie inversée et transposition ombilicale d’un dermatofibrosarcome épigastrique. In Annales de Chirurgie Plastique Esthétique. Elsevier Masson. 2021 ; 66(3) : 261-267.

14. Penel N, El Bedoui S, Robin Y. M, Decanter G. Dermatofibrosarcome: prise en charge. Bulletin du Cancer. (2018 ; 105(11) : 1094-1101.

15. Grizzetti L, Gaide O, Kuonen F.. Dermatofibrosarcoma protuberans: aspects clinico-pathologiques et prise en charge [Dermatofibrosarcoma protuberans: clinico-pathological aspects and management]. 2020.

16. Osché M, Mitcov M, Lipsker D, Cribier B. Étude anatomoclinique et immunohistochimique de 8 cas de dermatomyofibromes [Anatomoclinical and immunohistochemical study of 8 cases of dermatomyofibroma]. Ann Dermatol Venereol. 2020 Nov;147(11):721-728.

17. Marcoval J, Moreno-Vílchez C, Torrecilla-Vall-Llosera C, Muntaner-Virgili C, Pérez Sidelnikova D, Sanjuán X, Penín RM. Dermatofibrosarcoma Protuberans: A Study of 148 Patients. Dermatology. 2024;240(3):487-493. doi: 10.1159/000536172. Epub 2024 Jan 16. PMID: 38228098; PMCID: PMC11168446.

18. Ugurel S, Kortmann RD, Mohr P, Mentzel T, Garbe C, Breuninger H, Bauer S, Grabbe S. S1 guidelines for dermatofibrosarcoma protuberans (DFSP) - update 2018. J Dtsch Dermatol Ges. 2019 Jun;17(6):663-668. doi: 10.1111/ddg.13849. Epub 2019 May 22. PMID: 31115967.

19. Diagnosis and treatment of dermatofibrosarcoma protuberans. European consensus-based interdisciplinary guideline.

20. Granier G, Agrici V, Habib F, Meunier L, Moustey C, Marty-Double C. La chirurgie micrographique de Mohs dans la prise en charge des carcinomes basocellulaires: Application au CHU de Nîmes. In Annales de Pathologie. Elsevier Masson. 2007; 27(2) : 74-79).

21. Navarrete-Dechent C, Mori S, Barker CA, Dickson MA, Nehal KS. Imatinib Treatment for Locally Advanced or Metastatic Dermatofibrosarcoma Protuberans: A Systematic Review. JAMA Dermatol. 2019 Mar 1;155(3):361-369. doi: 10.1001/jamadermatol.2018.4940.

22. Fields RC, Hameed M, Qin LX, et al. Dermatofibrosarcoma protuberans (DFSP): predictors of recurrence and the use of systemic therapy. Ann Surg Oncol. 2011;18(2):328-336. doi:10.1245/s10434-010-1316-

23. Remiszewski P, Pisklak A, Filipek K, et al. Dermatofibrosarcoma Protuberans (DFSP): Current Treatments and Clinical Trials. Curr Treat Options Oncol. 2025;26(11):967-989. doi:10.1007/s11864-025-01348-y

Downloads

Published

2026-07-22

How to Cite

1.
Dehda S, Derouiche S, Abdelmalek O, Allel S, Ali B, Fatiha Y, et al. From Diagnosis to Treatment: Dermatofibrosarcoma Protuberance – A Case Report. J Neonatal Surg [Internet]. 2026 Jul. 22 [cited 2026 Jul. 23];15(1s):162-5. Available from: https://jneonatalsurg.com/index.php/jns/article/view/10484