Hakim Muhammad Luqman Nul, Tjahjono Firman Priguna, Faried Ahmad
Department of Neurosurgery, Padjadjaran University/Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia.
Surg Neurol Int. 2024 Nov 15;15:414. doi: 10.25259/SNI_604_2024. eCollection 2024.
Dermatofibrosarcoma protuberans (DFSP) is a rare type of skin cancer that arises in the deeper layers of the skin, most commonly on the trunk and limbs. The presentation of DFSP on the scalp is worth documentation due to its extremely rare occurrence in the literature.
We describe a case of a 41-year-old female presented with a lump on the back of the head with gradual enlargement. It was solitary with a size 19 × 12 × 10 cm with purulent discharge and intermittent pain. A computed tomography-scan showed an isodense mass at mid occipital without intracranial involvement. Tumor extirpation and the free flap were performed collaborated with plastic surgery. The patient was discharged unremarkably on the 7 postoperative day without any neurological deficits.
Our case is distinct because, after 24 months without any adjuvant therapy and without any recurrence, the patient is still doing well. This is a very rare clinical entity.
隆突性皮肤纤维肉瘤（DFSP）是一种罕见的皮肤癌，起源于皮肤深层，最常见于躯干和四肢。由于其在文献中极为罕见，头皮部DFSP的病例值得记录。
我们描述了一例41岁女性患者，其枕部出现肿物并逐渐增大。肿物为单发，大小为19×12×10厘米，有脓性分泌物和间歇性疼痛。计算机断层扫描显示枕骨中部等密度肿块，无颅内侵犯。与整形外科合作进行了肿瘤切除及游离皮瓣手术。患者术后第7天顺利出院，无任何神经功能缺损。
我们的病例独特之处在于，在未接受任何辅助治疗且无任何复发的情况下，24个月后患者情况仍然良好。这是一种非常罕见的临床病例。
