Dermatofibrosarcoma Protuberans of the Forehead: Case Report of a Rare Entity and Review of Literature

Dermatofibrosarcoma protuberans (DFSP) is a rare soft tissue sarcoma originating from fibroblasts in the dermal connective tissue, comprising approximately 1% of all soft tissue sarcomas. While most cases involve the trunk and extremities, only 10%–15% occur in the cephalic region, representing less...

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Main Authors: Ulrich Igor Mbessoh Kengne, Jaafar Ibn Abou Talib Thiam, Amacoumba Fall, Salif Balde, Mamadou Ndiaye, Joel Gabin Konlack Mekontso, Gorgui Sarr, Etienne Tossou Zoure, Mamadou Sow, Sidy Ka
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/crom/9991548
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Summary:Dermatofibrosarcoma protuberans (DFSP) is a rare soft tissue sarcoma originating from fibroblasts in the dermal connective tissue, comprising approximately 1% of all soft tissue sarcomas. While most cases involve the trunk and extremities, only 10%–15% occur in the cephalic region, representing less than 1% of all head and neck neoplasms. DFSP is notable for its high propensity for local recurrence following surgical excision and its low metastatic potential. We report a case of recurrent DFSP of the forehead extending to the anterior wall of the left frontal sinus, without brain involvement, in a 33-year-old male with a history of three prior wide local excisions. A multidisciplinary cancer team recommended systemic imatinib therapy. This case highlights the challenges of managing DFSP in an uncommon location, underscoring the importance of a multidisciplinary approach in addressing recurrent and complex presentations.
ISSN:2090-6714