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J Eur Acad Dermatol Venereol. 2001 Sep;15(5):427-9.

Dermatofibrosarcoma protuberans: experience with 14 cases.

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Department of Plastic and Reconstructive Surgery, Second Naples University, Italy.


Dermatofibrosarcoma is a rare, low-grade malignant skin tumour that can be considered the equivalent of malignant non-cutaneous soft tissue fibrohistiocytoma. The high rate of recurrence of this tumour is correlated with poor surgical management because lesions, often smaller than 2 cm in diameter, may be confused with dermatofibroma or keloid. Our findings confirm the importance of accurate diagnosis of primary lesions and the need for aggressive surgical treatment (excision of 5 cm of surrounding tissue) to lower the incidence of local relapse.

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