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doi:10.1016/j.bjps.2004.06.017 
Copyright © 2004 The British Association of Plastic Surgeons. Published by Elsevier Ltd.
Case Report
Late recurrence of dermatofibrosarcoma protuberans in the female breast: a case report*1
Received 3 September 2003;
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Abstract
The case presented is of a 39-year-old female who, at the age of 13 years, had had a ‘dermatofibroma’ excised from her left breast. Twenty-six years later she developed an unsightly ‘stretched scar’. Excision biopsy demonstrated a dermatofibrosarcoma protuberans (DFSP). This was managed by wide local excision, preservation of the nipple–areolar complex, and immediate reconstruction with a pedicled latissimus dorsi flap. Review of the original histology confirmed the presence of DFSP, revising the original diagnosis. Most DFSPs recur within 3 years of primary excision. Such prolonged latency prior to recurrence has not been previously described. This reinforces the need to educate patients regarding the importance of long-term scar surveillance following skin tumour excision.
Author Keywords: Dermatofibrosarcoma protuberans; Recurrence; Breast; Surgery; Reconstruction; Latissimus dorsi flap; Surveillance
