PMC4763647_01
Clinical aspect of the mass evoking a tumor of Darier and Ferrand
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F1
It was dependent on the superficial cutaneous tissues and evoking a tumor of Darier and Ferrand [Figure 1].
Magnetic resonance imaging noted a well limited, vascularized, round mass of cutaneous and subcutaneous tissues
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F2
A magnetic resonance imaging study of the right lower extremity revealed an 8 cm x 8 cm x 5.7 cm well limited, vascularized, round mass in the cutaneous, and subcutaneous tissues [Figure 2].
Resection of the tumor with a margin of excision of 5 cm involving in-depth the aponeurosis. The residual skin defect was grafted
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F3
The patient underwent a 5 cm margin excision involving in-depth the aponeurosis with resection margins microscopically negative [Figure 3].
Histological aspect revealing a malignant transformation of the dermatofibrosarcoma of Darier-Ferrand into a sarcoma (H and E stain, x100)
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F4
The histological study revealed a malignant transformation of the dermatofibrosarcoma of Darier and Ferrand into a sarcoma [Figures 4 and 5].
Tumoral proliferation in spindle-shaped cells (H and E stain, x400)
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F5
The histological study revealed a malignant transformation of the dermatofibrosarcoma of Darier and Ferrand into a sarcoma [Figures 4 and 5].
The esthetic and functional result was assessed as good at 5 year follow-up
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F6
There was no recurrence at 5 years follow-up [Figures 6 and 7].
The esthetic and functional result was assessed as good at 5 year follow-up
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F7
There was no recurrence at 5 years follow-up [Figures 6 and 7].