Unusual scalp location of a Darier and Ferrand dermatofibrosarcoma: A case report in Dakar

Darier and Ferrand’s dermatofibrosarcoma (DFSP) is a rare cutaneous mesenchymal tumor characterized by a high potential for local recurrence and a low risk of metastasis. We report an unusual case of DFSP located on the scalp of a 63-year-old female patient with a history of hypertension. The lesion, which had been evolving for six years, presented with a polymorphic clinical appearance, mimicking benign tumors. The diagnosis was confirmed by histopathological examination, and a wide surgical excision with safety margins was performed. This case highlights the importance of heightened vigilance regarding atypical skin lesions, particularly in rare locations such as the scalp, and the need for a multidisciplinary approach to optimize therapeutic outcomes.