Dermatofibrosarcoma Protuberans of the Brow and Eyelid

In Brief A 60-year-old woman had a slow-growing cutaneous nodule of her left brow. After initial excisional biopsy, the lesion recurred within 1 week. After tissue diagnosis was confirmed, the recurrent mass was excised under frozen section control and the defect was reconstructed with a forehead flap. This unusual tumor involved the brow and eyelid, down to the level of the orbital septum. The patient remains free of disease after 20 months. Dermatofibrosarcoma protuberans is an uncommon and potentially malignant tumor that must be completely excised under frozen section control.