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Dermatofibrosacoma Protuberans
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Dermatofibrosacoma Protuberans

Cut surface of a dermatofibrosarcoma of skin.
The surface of the skin is towards the top of the image as indicated by the multiple black hairs that project upward from the skin.
The lesion is indicated towards the center bottom in cut surface.
Notice the firm white appearing tissue that is typical of a fibrosarcoma of skin.
(Description By:Melinda Sanders, M.D. )
(Image Contrib. by:Melinda Sanders, M.D. UCHC )
Dermatofibrosarcoma
Etiology

Unknown
Pathogenesis

Unknown,
Epidemiology

An uncommon lesion usually on the trunk of middle-aged individuals.
General Gross Description

Also known as dermatofibrosarcoma protubrans.
It may present as a series of bumps or nodules on top of a plaque-like lesion.
Superficial ulceration of some of these nodules may be a presenting feature.
General Microscopic Description

Histologically, the lesion represents a low-grade fibrosarcoma of soft tissue origin.
The proliferating fibroblast of this lesion have a tendency to be arranged in a radially distributed manner, often referred to as "storiform" pattern.
The lesion may have mitotic figures, but the frequency is often low to undetectable.
Clinical Correlation

Clinically, the lesion is a slow growing malignancy requiring wide local excision for cure.
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th edition. Philadelphia, W.B. Saunders, 1994, pp. 1189
Dermatofibrosarcoma
Synopsis by: T.V.Rajan, M.D., Ph.D. (T01000M88323)[518]
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