title: Acrally occurring dermatofibrosarcoma protuberans in children and adults.
abstract: BACKGROUND
  Dermatofibrosarcoma protuberans (DFSP) arising on the hands and feet is unusual and, at any site, is extremely rare in children.
  
  
  OBJECTIVE
  We report a 5-year-old girl who developed DFSP on her hand at 9 months of age. We review the clinical features and treatment of childhood DFSP and of acrally occurring DFSP at all ages.
  
  
  CONCLUSIONS
  DFSP in children develops most often on the back (22.2%) and at acral sites (14.8%). It occurs on the hands and feet of children more commonly than in adults. This may be related to the increased frequency of trauma at these sites in children. Mohs micrographic surgery is the treatment of choice for DFSP.
authors.affiliation: Department of Dermatology, Medical College of Wisconsin, Milwaukee 53226.
authors.forename: L G
authors.initials: LG
authors.lastname: Rabinowitz
authors.forename: M E
authors.initials: ME
authors.lastname: Luchetti
authors.forename: A D
authors.initials: AD
authors.lastname: Segura
authors.forename: N B
authors.initials: NB
authors.lastname: Esterly
mesh_terms: D000328:Adult; D002675:Child, Preschool; D018223:Dermatofibrosarcoma / Q000473:pathology*; D005260:Female; D005534:Foot Diseases; D006225:Hand; D006801:Humans; D012878:Skin Neoplasms / Q000473:pathology*