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Scholars International Journal of Obstetrics and Gynecology (SIJOG)
Volume-3 | Issue-01 | 14-17
Case Report
Recurrent Vulvar Dermatofibrosarcoma Protuberans: A Real Management Dilemma
Karam Harou, Achraf Douazi, Bouchra Fakhir, Yassir Ait Benkaddour, Hamid Asmouki, Abderrahim Aboulfalah, Abderraouf Soummani
Published : Jan. 30, 2020
DOI : 10.36348/sijog.2020.v03i01.005
Abstract
In 1924, Jean Darier and Marcel Ferrand described for the first time dermatofibrosarcoma as a true clinical and histological entity. It is a fibrous tumor of the skin with high local malignancy, progressive and with a high potential for recurrence. We report an unusual location of recurrent dermatofibrosarcoma protuberans of the vulva in a 58-years-old patient. The clinical examination showed a large, rounded mass of firm consistency. The surgical resection was complete, passing to 5 cm laterally with economy of normal tissue leaving the minimum of functional and aesthetic sequelae. Histological examination of the operating piece confirmed the diagnosis. This observation illustrates the voluminous nature of the mass, the local aggressiveness of the tumor and the potential difficulties of wide excision laterally and in depth of the lesion in an important anatomical region. This excision results in large losses of substances whose cover is a real challenge for the surgeon.
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