Surgical Management Of A Dermatofibrosarcoma Protuberance Of The Face

Abstract

Background: Dermatofibrosarcoma Protuberance(DFSP) is a rare cutaneous tumor of unknown etiology. The lesion frequently develops on the extremities (mostly the lower legs) trunk, and rarely above neck. It is usually asymptomatic, although pruritus and tenderness are not uncommon. DFSP is a cutaneous malignancy that arises from the dermis and invades deeper subcutaneous tissue (eg, fat, fascia, muscle, bone). Two cases of dermatofibroma of the face presented to us of which is a pigmented variety also called bednar [6] . WE report these cases as these tumors are rare and though an entity known for about 9 decades still much is research is to be done regarding the management. Materials & Methods : Two cases of Dermatofibrosarcoma Protuberance of face of which one was pigmented variety, presented to Plastic Surgery OPD between July 2003 to December 2005. These cases were managed by wide excision and reconstruction by local rotational flaps to achieve cosmetically good results.