Interscapular-thoracic Amputation: A Giant Dermatofibrosarcoma Protuberans Tumor
1Department of General Surgery, Hospital Universitario Dr. José Eleuterio González, Monterrey, Mexico
2Division of Oncology Surgery, Department of General Surgery, Hospital Universitario Dr. José Eleuterio González, Monterrey, Mexico
J Clin Pract Res 2023; 45(3): 300-302 DOI: 10.14744/etd.2022.48457
Full Text PDF

Abstract

Background: Dermatofibrosarcoma protuberans (DFSP), an uncommon sarcoma of the dermis, is a low-grade, spindle-cell tumor that usually grows slowly and has a high local recurrence rate, but rarely metastasizes to distant sites. The diagnosis is based on histopathology and the standard treatment is wide surgical excision with tumor-free margins.
Case Report: Described is the case of a 75-year-old female who presented with a giant tumor on her upper right arm that had been increasing in size for a year. A biopsy provided the diagnosis of DFSP. Radical surgery was performed and the arm was disarticulated from the scapula.
Conclusion: Treatment for DFSP typically involves surgical excision; however, the size of the tumor in the present case was exceptionally large. Disarticulation offered the best prognosis.