Off-Center Fold
November 1998

Slowly Expanding Abdominal Plaque

Author Affiliations



Copyright 1998 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1998

Arch Dermatol. 1998;134(11):1477-1482. doi:

The biopsy specimen showed sheets of uniform spindled cells in the dermis interlacing in a storiform or cartwheel pattern. The cells invaded the subcutaneous fat, extending between the cells in a honeycomb pattern. Other subcutaneous areas showed multiple layers of spindle cells oriented parallel to the skin surface.

The patient was referred for Mohs micrographic surgery, and the margins were cleared after debulking and 1 stage.

Dermatofibrosarcoma protuberans is a low-grade fibrosarcoma.1 It is a rare tumor, with an estimated incidence of anywhere from 0.8 to 5 cases per 1 million persons in the general population.2,3 In a university study of 132 black patients with skin cancer, 16 (12.1%) were diagnosed as having DFSP.4

First Page Preview View Large
First page PDF preview
First page PDF preview