Disabling Giant Fibrosarcoma of the Shoulder Girdle at the Bamako Dermatology Hospital in Mali

Fibrosarcoma is defined by the World Health Organization (WHO) as a malignant tumour, characterized by the presence of intertwined bundles of collagen fibers, and by the absence of other types of histological structures, such as bone or cartilage. In this article, we describe the observation of a case of disabling giant fibrosarcoma at the shoulder girdle in order to highlight the clinical, Para clinical and therapeutic particularities. This is a 58-year-old male patient with a history of apparently good health. He reports that for 18 years he has had a pimple on his shoulder that has been growing until it reaches its current very large size and causing him a disability. After an unremarkable blood test, the patient was surgically treated by performing a wide excision with a good surgical margin and skin grafting. The surgical specimen weighed 3700 g. The patient was regularly followed up for 4 years without recurrence. Soft tissue sarcomas are a heterogeneous group of tumours that are not very common and histologically diverse, including fibrosarcoma, and whose treatment results in a wide surgical resection with free margins. Skin grafting provides a very satisfactory result face to huge generated loss of tissues while removing the handicap in patients with giant tumours in our resource-limited countries.