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Sarcoma
Volume 8 (2004), Issue 1, Pages 43-45
http://dx.doi.org/10.1080/13577140410001679257
CASE REPORT

Dermatofibrosarcoma Protuberans of Scalp With Cervical Lymph Node Metastasis

1Department of Surgery, Maulana Azad Medical College, Associated Lok Nayak, G.B. Pant Hospitals, New Delhi 110002, India
2Department of Plastic Surgery, Maulana Azad Medical College, Associated Lok Nayak, G.B. Pant Hospitals, New Delhi 110002, India
3Department of Pathology, Maulana Azad Medical College, Associated Lok Nayak, G.B. Pant Hospitals, New Delhi 110002, India
4C–63, Preet Vihar, Delhi 110092, India

Copyright © 2004 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Dermatofibrosarcoma protuberans (DFSP) is an uncommon, slow growing and locally aggressive tumor of the skin with a high rate of recurrence even after supposedly wide excision. The reports of regional lymph node metastasis and distant metastasis are very rare. Because of the extreme rarity of these cases with metastasis, the experience with management of such patients is very limited. A case of recurrent DFSP of scalp, with metastasis to the regional lymph nodes, in a 17-year-old boy is reported here. This is the second case of DFSP involving scalp and 16th case of DFSP of all sites metastasizing to the regional lymph nodes reported in literature. The patient was treated with wide excision of the lesion and ipsilateral radical neck dissection (including excision of overlying involved skin).