Pigmented dermatofibrosarcoma protuberans (Bednár tumor) occurring in a Japanese infant

Dermatology. 1998;197(1):48-51. doi: 10.1159/000017976.

Abstract

A case of pigmented dermatofibrosarcoma protuberans (Bednár tumor) occurring in a Japanese infant is reported. A 6-month-old girl developed a 16 x 10 mm erythematous tumor with a slight elevation on the lower back at 1 month of age. Histological examination revealed proliferation of spindle-shaped, fibroblast-like cells in the myxoid interstitium. Subsequently the tumor grew gradually to a red-purplish tumor measuring 45 x 36 mm. The second biopsy specimen presented hypercellular proliferation composed of spindle-shaped cells showing slight nuclear atypia and a characteristic storiform pattern, with scattered slender dendritic cells containing a large amount of brown pigment. Immunohistochemical studies of the second biopsy specimen showed that the spindle-shaped tumor cells were positive for vimentin and CD34 and negative for factor XIIIa. The number of CD34-reactive spindle-shaped tumor cells increased in the second biopsy specimen compared with the first biopsy.

Publication types

  • Case Reports

MeSH terms

  • Antigens, CD34 / metabolism*
  • Back*
  • Dermatofibrosarcoma / diagnosis*
  • Dermatofibrosarcoma / metabolism
  • Dermatofibrosarcoma / pathology
  • Diagnosis, Differential
  • Female
  • Humans
  • Immunohistochemistry
  • Infant
  • Japan
  • Skin Neoplasms / diagnosis*
  • Skin Neoplasms / metabolism
  • Skin Neoplasms / pathology
  • Skin Pigmentation
  • Transglutaminases / metabolism*

Substances

  • Antigens, CD34
  • Transglutaminases