PMC6945386_01
Dermatofibrosarcoma protuberans (DFSP) presenting as an induration with multiple nodules
PAMJ-34-116-g001.jpg
PMC6945386_01_PAMJ-34-116-g001.jpg
f0001
It was a small nodule that gradually increased in volume without any pain or functional inconvenience (Figure 1).
CT showing the lesion
PAMJ-34-116-g002.jpg
PMC6945386_01_PAMJ-34-116-g002.jpg
f0002
Computed tomography (CT) showed infiltration of the subcutaneous fat without extension to the underlying muscles (Figure 2).
Margin of the excision of 5 cm
PAMJ-34-116-g003.jpg
PMC6945386_01_PAMJ-34-116-g003.jpg
f0003
The excision was made with lateral margins of 5 cm and carrying deeply the fascia of the internal oblique and the right rectus muscle (Figure 3, Figure 4, Figure 5).
Large skin defect post excision
PAMJ-34-116-g004.jpg
PMC6945386_01_PAMJ-34-116-g004.jpg
f0004
The excision was made with lateral margins of 5 cm and carrying deeply the fascia of the internal oblique and the right rectus muscle (Figure 3, Figure 4, Figure 5).
The macroscopic aspect of the excision
PAMJ-34-116-g005.jpg
PMC6945386_01_PAMJ-34-116-g005.jpg
f0005
The excision was made with lateral margins of 5 cm and carrying deeply the fascia of the internal oblique and the right rectus muscle (Figure 3, Figure 4, Figure 5).
McGregor flap used to cover the skin defect after excision
PAMJ-34-116-g006.jpg
PMC6945386_01_PAMJ-34-116-g006.jpg
f0006
The cutaneous defect was covered at the same time by an inguinal Mc Gregor flap and the donor zone was sutured directly (Figure 6).
The result 1 year and a half after surgery
PAMJ-34-116-g007.jpg
PMC6945386_01_PAMJ-34-116-g007.jpg
f0007
The clinical aspect at 1.5 year follow-up showing the absence of recurrence with an excellent aesthetic result (Figure 7).