Clinical Mimicry and Dermatofibrosarcoma Protuberans: A Case Report with a Point to Ponder

Ghazal Ahmed; Dharmendra Kumar Mishra; Shrenik Balegar; Mohammed Zahir

doi:doi:10.11648/j.ijbecs.20170306.15

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Clinical Mimicry and Dermatofibrosarcoma Protuberans: A Case Report with a Point to Ponder

Ghazal Ahmed, Dharmendra Kumar Mishra, Shrenik Balegar, Mohammed Zahir

Published in International Journal of Biomedical Engineering and Clinical Science (Volume 3, Issue 6)

Received: 26 February 2017 Accepted: 3 May 2017 Published: 4 December 2017

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Abstract

Dermatofibrosarcoma protuberans (DFSP) is a very rare cutaneous neoplasm which usually affects the torso. The clinical presentation is nonspecific and can mimic many benign as well as malignant skin lesions. We present a case with clinical diagnostic dilemma which was located over an unusual site to be suspected as DFSP with deceiving feature of cookie cutter sign. Moreover, the skin colored lesion was above a superficial bone, nearly immobile and hard in consistency; which even was mimicking underlying bony lesion on first impression. We have also reviewed the recently published DFSP case presentations and discussed with context to the mimicking nature of the disease.

Published in	International Journal of Biomedical Engineering and Clinical Science (Volume 3, Issue 6)
DOI	10.11648/j.ijbecs.20170306.15
Page(s)	100-102
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Dermatofibrosarcoma Protuberans, Clinical Mimicry, Non Specific Presentation

References

[1]	Criscione VD, Weinstock MA. Descriptive epidemiology of dermatofibrosarcoma protuberans in the United States, 1973 to 2002. J Am Acad Dermatol 2007; 56: 968-73.
[2]	British Association of Dermatologists. Dermatofibrosarcoma Protuberans (DFSP). Patient information leaflets. London, United Kingdom: March 2012 [updated 2015 Jun; cited 2016 Nov 22]. Available from: http://www.bad.org.uk/for-the-public/patient-information-leaflets/dermatofibrosarcoma-protuberans/?showmore=1&returnlink=http%3A%2F%2Fwww.bad.org.uk%2Ffor-the-public%2Fpatient-information-leaflets#.WBWYWVR97Mw.
[3]	Darier J, Ferrand M. Dermatofibromas progressifs et recidivants ou fibrosarcomes de la peau. Ann Dermatol Syphilig [Paris] 1924; 5: 545-62.
[4]	Kampshoff JL, Cogbill TH. Unusual skin tumors: Merkel cell carcinoma, eccrine carcinoma, glomus tumors, and dermatofibrosarcoma protuberans. Surg Clin North Am 2009; 89: 727-38.
[5]	Bulliard C, Murali R, Chang LY, Brennan ME, French J. Subcutaneous dermatofibrosarcoma protuberans in skin of the breast: may mimic a primary breast lesion. Pathology 2007; 39: 446-8.
[6]	Chen H-K, Li C-F, Uen Y-H, Tian Y-F, Chen M-J, Yan C-S, et al. Huge Dermatofibrosarcoma Protuberans Mimicking a Breast Malignant Tumor with Abscess. J Cancer Res Pract 2014; 1: 267-72.
[7]	Hwang Y, Lee SL, Chang ED, Ahn CH, Ku YM. CT and MR Imaging Findings of Perianal Dermatofibrosarcoma Protuberans Mimicking Mucinous Adenocarcinoma Arising from Fistula in Ano: A Case Report. J Korean Soc Radiol 2014; 70: 435-8.
[8]	Fujisawa Y, Furuta J, Kawachi Y. Dermatofibrosarcoma protuberans mimicking cutaneous sarcoidosis in a patient with lung sarcoidosis. Eur J Dermatol 2014; 24: 276-7.
[9]	Auer IA, Auer RN. Metastatic dermatofibrosarcoma protuberans mimicking meningioma. Clin Neuropathol 1998; 17: 190-3.
[10]	Swaroop MR, Vasudevan P. Painless Lump over the Upper Chest - A Keloid Mimicker. IJHSR 2016; 6: 649-52.
[11]	HC Cheung, KK Jong. Dermatofibrosarcoma protuberans: an asymptomatic multinodular plaque mimicking scar tissue. H K Dermatol Venereol Bull 2003; 11: 214-7.
[12]	Thway K, Noujaim J, Jones RL, Fisher C. Dermatofibrosarcoma protuberans: pathology, genetics, and potential therapeutic strategies. Ann Diagn Pathol 2016; 25: 64-71.

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APA Style

Ghazal Ahmed, Dharmendra Kumar Mishra, Shrenik Balegar, Mohammed Zahir. (2017). Clinical Mimicry and Dermatofibrosarcoma Protuberans: A Case Report with a Point to Ponder. International Journal of Biomedical Engineering and Clinical Science, 3(6), 100-102. https://doi.org/10.11648/j.ijbecs.20170306.15

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ACS Style

Ghazal Ahmed; Dharmendra Kumar Mishra; Shrenik Balegar; Mohammed Zahir. Clinical Mimicry and Dermatofibrosarcoma Protuberans: A Case Report with a Point to Ponder. Int. J. Biomed. Eng. Clin. Sci. 2017, 3(6), 100-102. doi: 10.11648/j.ijbecs.20170306.15

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AMA Style

Ghazal Ahmed, Dharmendra Kumar Mishra, Shrenik Balegar, Mohammed Zahir. Clinical Mimicry and Dermatofibrosarcoma Protuberans: A Case Report with a Point to Ponder. Int J Biomed Eng Clin Sci. 2017;3(6):100-102. doi: 10.11648/j.ijbecs.20170306.15

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@article{10.11648/j.ijbecs.20170306.15,
  author = {Ghazal Ahmed and Dharmendra Kumar Mishra and Shrenik Balegar and Mohammed Zahir},
  title = {Clinical Mimicry and Dermatofibrosarcoma Protuberans: A Case Report with a Point to Ponder},
  journal = {International Journal of Biomedical Engineering and Clinical Science},
  volume = {3},
  number = {6},
  pages = {100-102},
  doi = {10.11648/j.ijbecs.20170306.15},
  url = {https://doi.org/10.11648/j.ijbecs.20170306.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbecs.20170306.15},
  abstract = {Dermatofibrosarcoma protuberans (DFSP) is a very rare cutaneous neoplasm which usually affects the torso. The clinical presentation is nonspecific and can mimic many benign as well as malignant skin lesions. We present a case with clinical diagnostic dilemma which was located over an unusual site to be suspected as DFSP with deceiving feature of cookie cutter sign. Moreover, the skin colored lesion was above a superficial bone, nearly immobile and hard in consistency; which even was mimicking underlying bony lesion on first impression. We have also reviewed the recently published DFSP case presentations and discussed with context to the mimicking nature of the disease.},
 year = {2017}
}

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TY  - JOUR
T1  - Clinical Mimicry and Dermatofibrosarcoma Protuberans: A Case Report with a Point to Ponder
AU  - Ghazal Ahmed
AU  - Dharmendra Kumar Mishra
AU  - Shrenik Balegar
AU  - Mohammed Zahir
Y1  - 2017/12/04
PY  - 2017
N1  - https://doi.org/10.11648/j.ijbecs.20170306.15
DO  - 10.11648/j.ijbecs.20170306.15
T2  - International Journal of Biomedical Engineering and Clinical Science
JF  - International Journal of Biomedical Engineering and Clinical Science
JO  - International Journal of Biomedical Engineering and Clinical Science
SP  - 100
EP  - 102
PB  - Science Publishing Group
SN  - 2472-1301
UR  - https://doi.org/10.11648/j.ijbecs.20170306.15
AB  - Dermatofibrosarcoma protuberans (DFSP) is a very rare cutaneous neoplasm which usually affects the torso. The clinical presentation is nonspecific and can mimic many benign as well as malignant skin lesions. We present a case with clinical diagnostic dilemma which was located over an unusual site to be suspected as DFSP with deceiving feature of cookie cutter sign. Moreover, the skin colored lesion was above a superficial bone, nearly immobile and hard in consistency; which even was mimicking underlying bony lesion on first impression. We have also reviewed the recently published DFSP case presentations and discussed with context to the mimicking nature of the disease.
VL  - 3
IS  - 6
ER  -

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Author Information

Ghazal Ahmed

Department of Dermatology, Venereology and Leprosy, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
Dharmendra Kumar Mishra

Department of Dermatology, Venereology and Leprosy, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
Shrenik Balegar

Department of Dermatology, Venereology and Leprosy, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
Mohammed Zahir

Department of Dermatology, Venereology and Leprosy, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India

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APA Style

Ghazal Ahmed, Dharmendra Kumar Mishra, Shrenik Balegar, Mohammed Zahir. (2017). Clinical Mimicry and Dermatofibrosarcoma Protuberans: A Case Report with a Point to Ponder. International Journal of Biomedical Engineering and Clinical Science, 3(6), 100-102. https://doi.org/10.11648/j.ijbecs.20170306.15

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ACS Style

Ghazal Ahmed; Dharmendra Kumar Mishra; Shrenik Balegar; Mohammed Zahir. Clinical Mimicry and Dermatofibrosarcoma Protuberans: A Case Report with a Point to Ponder. Int. J. Biomed. Eng. Clin. Sci. 2017, 3(6), 100-102. doi: 10.11648/j.ijbecs.20170306.15

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AMA Style

Ghazal Ahmed, Dharmendra Kumar Mishra, Shrenik Balegar, Mohammed Zahir. Clinical Mimicry and Dermatofibrosarcoma Protuberans: A Case Report with a Point to Ponder. Int J Biomed Eng Clin Sci. 2017;3(6):100-102. doi: 10.11648/j.ijbecs.20170306.15

Copy | Download

@article{10.11648/j.ijbecs.20170306.15,
  author = {Ghazal Ahmed and Dharmendra Kumar Mishra and Shrenik Balegar and Mohammed Zahir},
  title = {Clinical Mimicry and Dermatofibrosarcoma Protuberans: A Case Report with a Point to Ponder},
  journal = {International Journal of Biomedical Engineering and Clinical Science},
  volume = {3},
  number = {6},
  pages = {100-102},
  doi = {10.11648/j.ijbecs.20170306.15},
  url = {https://doi.org/10.11648/j.ijbecs.20170306.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbecs.20170306.15},
  abstract = {Dermatofibrosarcoma protuberans (DFSP) is a very rare cutaneous neoplasm which usually affects the torso. The clinical presentation is nonspecific and can mimic many benign as well as malignant skin lesions. We present a case with clinical diagnostic dilemma which was located over an unusual site to be suspected as DFSP with deceiving feature of cookie cutter sign. Moreover, the skin colored lesion was above a superficial bone, nearly immobile and hard in consistency; which even was mimicking underlying bony lesion on first impression. We have also reviewed the recently published DFSP case presentations and discussed with context to the mimicking nature of the disease.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Clinical Mimicry and Dermatofibrosarcoma Protuberans: A Case Report with a Point to Ponder
AU  - Ghazal Ahmed
AU  - Dharmendra Kumar Mishra
AU  - Shrenik Balegar
AU  - Mohammed Zahir
Y1  - 2017/12/04
PY  - 2017
N1  - https://doi.org/10.11648/j.ijbecs.20170306.15
DO  - 10.11648/j.ijbecs.20170306.15
T2  - International Journal of Biomedical Engineering and Clinical Science
JF  - International Journal of Biomedical Engineering and Clinical Science
JO  - International Journal of Biomedical Engineering and Clinical Science
SP  - 100
EP  - 102
PB  - Science Publishing Group
SN  - 2472-1301
UR  - https://doi.org/10.11648/j.ijbecs.20170306.15
AB  - Dermatofibrosarcoma protuberans (DFSP) is a very rare cutaneous neoplasm which usually affects the torso. The clinical presentation is nonspecific and can mimic many benign as well as malignant skin lesions. We present a case with clinical diagnostic dilemma which was located over an unusual site to be suspected as DFSP with deceiving feature of cookie cutter sign. Moreover, the skin colored lesion was above a superficial bone, nearly immobile and hard in consistency; which even was mimicking underlying bony lesion on first impression. We have also reviewed the recently published DFSP case presentations and discussed with context to the mimicking nature of the disease.
VL  - 3
IS  - 6
ER  -

Copy | Download