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An Unusual Presentation of Dermatofibrosarcoma Protuberans: a Small Inflamed Erosion with Spontaneous Hemorrhage on the Alae of the Nose

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A case of dermatofibrosarcoma protuberans (DFSP), which has been diagnosed as inflammatory granuloma at the first time and treated with laser ablation, because it has an atypical clinical history, including… Click to show full abstract

A case of dermatofibrosarcoma protuberans (DFSP), which has been diagnosed as inflammatory granuloma at the first time and treated with laser ablation, because it has an atypical clinical history, including a short course of tumor development, spontaneous hemorrhage from lesion, and ulceration in surface. The lesion recurred rapidly and underwent a surgical resection of the tumor with margins being negative. Histopathological examinations revealed the final diagnosis of dermatofibrosarcoma protuberans. No recurrence has been observed with 1-year follow-up. This case indicates that dermatofibrosarcoma protuberans may have non-typical morphology; early biopsy in rapidly growing nodule is necessary.

Keywords: spontaneous hemorrhage; dermatofibrosarcoma; dermatofibrosarcoma protuberans; presentation dermatofibrosarcoma; unusual presentation

Journal Title: Indian Journal of Surgery
Year Published: 2020

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