Recurrent Dermatofibrosarcoma protuberans
Recurrent Dermatofibrosarcoma Protuberans (DFSP)
Dermatofibrosarcoma protuberans (DFSP) is a rare and aggressive form of skin cancer. It typically affects adults in their 30s and 40s, and is of unknown cause. Characterized by a fibrous growth of the skin, most cases of DFSP are slow-growing and do not spread to other parts of the body. However, in some cases, DFSP can become recurrent, meaning the growth may return after it has been removed.
Recurrent DFSP is less common than initial cases of DFSP, but typically presents with the same symptoms and is treated with the same methods as the original diagnosis. In the event of a recurrence, the treatment typically includes Mohs micrographic surgery or wide local excision, with radiotherapy used as an alternative option. However, because of the aggressive nature of recurrent DFSP, the prognosis may be poorer than that of an initial diagnosis.
Signs and Symptoms of Recurrent DFSP
Common signs and symptoms associated with recurrent DFSP include:
- A skin-colored or reddish-brown patch which is firm and raised
- Slow-growing tumors
- Itchiness or tenderness in the affected area
- Ulceration or bleeding
Diagnosis and Treatment of Recurrent DFSP
Recurrent DFSP is typically diagnosed with a physical exam and biopsy of the affected area. In some cases, imaging tests like X-rays, MRI, or CT scans may also be used. To ensure that all cancerous cells are removed, the most common treatments are Mohs micrographic surgery and wide local excision, though radiotherapy can be used in some cases. It’s important to note that recurrent DFSP is considered to be more aggressive than the original diagnosis and the prognosis may, as a result, be poorer.
Conclusion
Recurrent dermatofibrosarcoma protuberans (DFSP) is a rare and aggressive form of skin cancer. While it is less common than initial cases, it typically presents with the same symptoms and is diagnosed and treated in the same way. However, because of the aggressive nature of recurrent DFSP, the prognosis may be poorer than that of an initial diagnosis.