Loukil Issam, Zouari Amine, Abid Bassem
Service de Chirurgie Générale, Tataouine, Tunisie.
Service de Chirurgie Générale, Sfax, Tunisie.
Pan Afr Med J. 2021 Apr 14;38:365. doi: 10.11604/pamj.2021.38.365.26770. eCollection 2021.
Dermatofibrosarcoma is a rare skin tumor. Morphological characteristics can be misleading and unknown to most of physicians. Diagnostic delay may affect patient´s management and prognosis. We here report the case of a young patient with lesions protruding from the abdominal wall mistaken for benign cysts. X-ray examination revealed subcutaneous adipose tissue mass. This was suspected of being a fibrosarcoma. The mass was resected with a macroscopic safety margin. The anatomo-pathological study confirmed the diagnosis of dermatofibrosarcoma. Clinical and radiological follow-up examinations didn´t show any recurrence. This study highlights the importance of suspecting this rare tumor requiring specialist treatment.
皮肤纤维肉瘤是一种罕见的皮肤肿瘤。其形态学特征可能具有误导性，大多数医生对此并不了解。诊断延迟可能会影响患者的治疗和预后。我们在此报告一例年轻患者，其腹壁有突出病变，被误诊为良性囊肿。X线检查显示皮下脂肪组织肿块。怀疑为纤维肉瘤。肿块被切除，切除边缘在肉眼下安全。解剖病理学研究证实为皮肤纤维肉瘤。临床和放射学随访检查未显示任何复发。本研究强调了怀疑这种需要专科治疗的罕见肿瘤的重要性。
