The Subcutaneous Variant Dermatofibrosarcoma Protuberans of the Breast With Nipple Areolar Complex Invasion Treated With Central Lumpectomy: A Case Report
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Dermatofibrosarcoma protuberans (DFSP) is a rare low-grade soft tissue sarcoma and the breast is less commonly affected than the torso. DFSP can be misdiagnosed as neurofibroma, desmoid tumor, malignant melanoma, or Kaposi sarcoma. A variant of DFSP originates from the subcutaneous layer and is called subcutaneous variant dermatofibrosarcoma protuberans (SC-DFSP). It can be easily confused with breast phyllodes tumor, myofibroblastoma, myoepithelioma, or advanced breast cancer, such as fibromatosis-like metastatic carcinoma. Following punch biopsy, the treatment of choice for breast DFSP is complete excision with negative margins ≥ 2 cm. We present a case of breast SC-DFSP with nipple areolar complex invasion.
Abstract
Dermatofibrosarcoma protuberans (DFSP) is a rare low-grade soft tissue sarcoma and the breast is less commonly affected than the torso. DFSP can be misdiagnosed as neurofibroma, desmoid tumor, malignant melanoma, or Kaposi sarcoma. A variant of DFSP originates from the subcutaneous layer and is called subcutaneous variant dermatofibrosarcoma protuberans (SC-DFSP). It can be easily confused with breast phyllodes tumor, myofibroblastoma, myoepithelioma, or advanced breast cancer, such as fibromatosis-like metastatic carcinoma. Following punch biopsy, the treatment of choice for breast DFSP is complete excision with negative margins ≥ 2 cm. We present a case of breast SC-DFSP with nipple areolar complex invasion.
참고문헌 (14)
- Ferreira ALS, "Clinical and imaging features of dermatofibrosarcoma protuberans in the breast", Breast J, 27, pp.92~94 (2021)
- Llombart B, "Dermatofibrosarcoma protuberans : a comprehensive review and update on diagnosis and management", Semin Diagn Pathol, 30, pp.13~28 (2013)
- Llombart B, "Subcutaneous dermatofibrosarcoma protuberans, a rare subtype with predilection for the head : a retrospective series of 18 cases", J Am Acad Dermatol, 77, pp.503. e1~511. e1 (2017)
- Darier S, "Recurrent or progressive dermatofibromas and fibrosarcoma of the skin", Ann Dermatol Venereol, 5, pp.545~562 (1924)
- Hoffmann E, "Regarding the knollentrichencle fibrosarcoma of the skin(dermatofibrosarcoma protuberans)(In German)", Dermatol, 43, pp.1~28 (1925)
- Diaz-cascajo C, "Deep dermatofibrosarcoma protuberans : a subcutaneous variant", Histopathology, 32, pp.552~555 (1998)
- Acosta AE, "Dermatofibrosarcoma protuberans", Curr Treat Options Oncol, 18, pp.56~ (2017)
- McGee MW, "Dermatofibrosarcoma protuberans-the use of neoadjuvant imatinib for treatment of an uncommon breast malignancy : a case report", J Med Case Rep, 13, pp.374~ (2019)
- Bague S, "Dermatofibrosarcoma protuberans presenting as a subcutaneous mass : a clinicopathological study of 15 cases with exclusive or near-exclusive subcutaneous involvement", Am J Dermatopathol, 30, pp.327~332 (2008)
- Wang Y, "A rare malignant disease, dermatofibrosarcoma protuberans of the breast : a retrospective analysis and review of literature", Biomed Res Int, 2020, pp.8852182~ (2020)
- 노정현, "Ultrasonographic and Pathologic Findings of Dermatofibrosarcoma Protuberans of the Breast: A Case Report", 대한영상의학회지, 78(5), pp.349~352 (2018), 대한영상의학회[DOI]
- National Comprehensive Cancer Network, "NCCN Clinical Practice Guidelines in Oncology for Guideline Dermatofibrosarcoma Protuberens Version 2", ~ (2022)
- Patel KU, "Dermatofibrosarcoma protuberans COL1A1-PDGFB fusion is identified in virtually all dermatofibrosarcoma protuberans cases when investigated by newly developed multiplex reverse transcription polymerase chain reaction and fluorescence in situ hybridization assays", Hum Pathol, 39, pp.184~193 (2008)
- Labropoulos SV, "Sustained complete remission of metastatic dermatofibrosarcoma protuberans with imatinib mesylate", Anticancer Drugs, 16, pp.461~466 (2005)
