title: Atrophic dermatofibrosarcoma protuberans.
abstract: A 48-year-old woman presented with a 20-year history of an asymptomatic depressed atrophic plaque on the abdomen. Five years earlier a punch biopsy of the same lesion had been carried out and a diagnosis of dermatofibroma was made. She was reassured and discharged. Further consultation was sought due to extension and thickening of the lesion. Re-examination of the initial and new incisional biopsy specimens, along with histochemical staining for CD34, established the diagnosis of atrophic dermatofibrosarcoma protuberans. A wide local excision was carried out. There has been no recurrence at 9 months of follow up.
authors.affiliation: Department of Dermatology, Oxford Radcliffe Hospitals, Oxford, UK. drsvafalk@hotmail.com
authors.forename: Vania
authors.initials: V
authors.lastname: Sinovich
authors.forename: Kevin
authors.initials: K
authors.lastname: Hollowood
authors.forename: Susan
authors.initials: S
authors.lastname: Burge
mesh_terms: D000005:Abdomen; D001706:Biopsy; D018223:Dermatofibrosarcoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery