The atrophic variant of dermatofibrosarcoma protuberans in childhood: a report of six cases

Dermatofibrosarcoma protuberans (DFSP) is typically diagnosed during early adult life at a tumoral stage. It occurs only rarely in children. We report six childhood cases of DFSP which presented initially with the misleading clinical appearance of atrophic plaques, and we review over 140 cases of DF...

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Veröffentlicht in:British journal of dermatology (1951) 1998-10, Vol.139 (4), p.719-725
Hauptverfasser: Martin, L., Combemale, P., Dupin, M., Chouvet, B., Kanitakis, J., Bouyssou-Gauthier, M-L., Dubreuil, G., Claudy, A., Grimand, P.S.GRIMAND
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container_issue 4
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container_title British journal of dermatology (1951)
container_volume 139
creator Martin, L.
Combemale, P.
Dupin, M.
Chouvet, B.
Kanitakis, J.
Bouyssou-Gauthier, M-L.
Dubreuil, G.
Claudy, A.
Grimand, P.S.GRIMAND
description Dermatofibrosarcoma protuberans (DFSP) is typically diagnosed during early adult life at a tumoral stage. It occurs only rarely in children. We report six childhood cases of DFSP which presented initially with the misleading clinical appearance of atrophic plaques, and we review over 140 cases of DFSP in childhood. As compared with adult forms, DFSP in children does not show distinctive features except for a tendency for acral localization. The diagnosis is difficult because of the slow course of the lesions, which present initially as apparently benign atrophic morphoeaor keloid‐like plaques. We believe that DFSP in childhood is probably under‐estimated, as a significant proportion of patients diagnosed as young adults had an onset several years earlier. Better knowledge of the initial appearance is important for making an early diagnosis and for an easier surgical treatment.
doi_str_mv 10.1046/j.1365-2133.1998.02476.x
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It occurs only rarely in children. We report six childhood cases of DFSP which presented initially with the misleading clinical appearance of atrophic plaques, and we review over 140 cases of DFSP in childhood. As compared with adult forms, DFSP in children does not show distinctive features except for a tendency for acral localization. The diagnosis is difficult because of the slow course of the lesions, which present initially as apparently benign atrophic morphoeaor keloid‐like plaques. We believe that DFSP in childhood is probably under‐estimated, as a significant proportion of patients diagnosed as young adults had an onset several years earlier. 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It occurs only rarely in children. We report six childhood cases of DFSP which presented initially with the misleading clinical appearance of atrophic plaques, and we review over 140 cases of DFSP in childhood. As compared with adult forms, DFSP in children does not show distinctive features except for a tendency for acral localization. The diagnosis is difficult because of the slow course of the lesions, which present initially as apparently benign atrophic morphoeaor keloid‐like plaques. We believe that DFSP in childhood is probably under‐estimated, as a significant proportion of patients diagnosed as young adults had an onset several years earlier. Better knowledge of the initial appearance is important for making an early diagnosis and for an easier surgical treatment.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Atrophy</subject><subject>Biological and medical sciences</subject><subject>Child, Preschool</subject><subject>Dermatofibrosarcoma - genetics</subject><subject>Dermatofibrosarcoma - pathology</subject><subject>Dermatofibrosarcoma - surgery</subject><subject>Dermatology</subject><subject>Dermis - pathology</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Tumors of the skin and soft tissue. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Oxford University Press Journals All Titles (1996-Current)
subjects Adolescent
Adult
Atrophy
Biological and medical sciences
Child, Preschool
Dermatofibrosarcoma - genetics
Dermatofibrosarcoma - pathology
Dermatofibrosarcoma - surgery
Dermatology
Dermis - pathology
Female
Humans
Infant
Male
Medical sciences
Tumors of the skin and soft tissue. Premalignant lesions
title The atrophic variant of dermatofibrosarcoma protuberans in childhood: a report of six cases
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