What question did this study set out to answer?

To emphasize the challenges of diagnosing and treating dermatofibrosarcoma protuberans in a pediatric patient.

May 10, 2026Journal of Indian Association of Pediatric Surgeons0 citationsOpen Access

Dermatofibrosarcoma Protuberans of the Scalp in a 15-year-old Boy: A Rare Pediatric Surgical Challenge

YSYogesh Kumar SarinLady Hardinge Medical College MKMeghna KinjalkLady Hardinge Medical College ASAbu Suraih SakhriLady Hardinge Medical College

Key Points

To emphasize the challenges of diagnosing and treating dermatofibrosarcoma protuberans in a pediatric patient.
Documented a case of a 15-year-old boy with scalp swelling diagnosed as benign initially.
Conducted a wide local excision to confirm the diagnosis of fibromatous DFSP.
Local recurrence risk remains high with insufficient surgical margins.
Surgical intervention confirmed the diagnosis, highlighting the importance of precise diagnosis and treatment.

Abstract

A BSTRACT Dermatofibrosarcoma protuberans (DFSP), a seldom-seen, intermediate-grade sarcoma of the skin, carries a substantial risk of local recurrence when surgical removal is insufficient. We document a case of a 15-year-old boy who presented with a painless scalp swelling, initially diagnosed elsewhere, as benign. Wide local excision confirmed fibromatous DFSP. The significance of early detection and appropriate surgical margins is underscored by this case.

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