Intracranial infiltration by recurrent scalp dermatofibrosarcoma protuberans

J Clin Neurosci. 2009 Oct;16(10):1358-60. doi: 10.1016/j.jocn.2008.07.088. Epub 2009 Jun 27.

Abstract

Dermatofibrosarcoma protuberans (DFSP) of the scalp is a rare soft tissue sarcoma. A 22-year-old male with DFSP, who had undergone several surgical excisions and radiotherapy, presented with a mild left lower-limb paresis. An MRI scan demonstrated a huge mass extending throughout the frontoparietal convexity. A macroscopically complete removal of the mass was performed. Despite this, there were several recurrences; thereafter, the patient underwent surgery, stereotactic radiosurgery and chemotherapy. The histological findings demonstrated a DFSP that both abutted and occasionally invaded the adjacent brain cortex, while extending along the Virchow-Robin spaces. Due to the highly infiltrating characteristics of DFSP, another approach, such as the use of molecular-targeted agents, will be required to significantly improve the clinical outcome.

Publication types

  • Case Reports

MeSH terms

  • Dermatofibrosarcoma / pathology
  • Dermatofibrosarcoma / surgery*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Neoplasm Recurrence, Local / pathology
  • Neoplasm Recurrence, Local / surgery*
  • Radiosurgery / methods
  • Scalp / pathology*
  • Scalp / surgery
  • Skin Neoplasms / pathology
  • Skin Neoplasms / surgery*
  • Young Adult