Late recurrence of dermatofibrosarcoma protuberans in the female breast: a case report.
The case presented is of a 39-year-old female who, at the age of 13 years, had had a "dermatofibroma" excised from her left breast. Twenty-six years later she developed an unsightly "stretched scar". Excision biopsy demonstrated a dermatofibrosarcoma protuberans (DFSP). This was managed by wide local excision, preservation of the nipple-areolar complex, and immediate reconstruction with a pedicled latissimus dorsi flap. Review of the original histology confirmed the presence of DFSP, revising the original diagnosis. Most DFSPs recur within 3 years of primary excision. Such prolonged latency prior to recurrence has not been previously described. This reinforces the need to educate patients regarding the importance of long-term scar surveillance following skin tumour excision.
Swan
M C
MC
Department of Plastic and Reconstructive Surgery, Radcliffe Infirmary, University of Oxford, Woodstock Road, Oxford OX2 6HE, UK.
Banwell
P E
PE
Hollowood
K
K
Goodacre
T E E
TE
D000328:Adult; D001943:Breast Neoplasms / Q000473:pathology* / Q000601:surgery; D018223:Dermatofibrosarcoma / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods; D009364:Neoplasm Recurrence, Local / Q000473:pathology* / Q000601:surgery; D012878:Skin Neoplasms / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome