Tissue sarcoma arising in the dermis and often penetrates into fat.
■ Etiology is unknown but has been reported to arise in scars. It is caused by a translocation between
chromosome 17 and 22.
Dermatofibrosarcoma protuberans
Peak age
20-50 yo
Presentation
non specific plaque often resembling a keloid w purplish to brown ish coloration
histo
a spindle cell proliferation often arranged as whorls
so-called herring bone pattern
Tx
mohs micrographic sx.
RT
In resection; prognosis is good