John Libbey Eurotext

European Journal of Dermatology


Dermatofibrosarcoma protuberans presenting as an atrophic red plaque Volume 11, issue 2, March - April 2001

Department of Dermatology, The St- George Hospital, Sydney, NSW 2217, Australia.
  • Page(s) : 147-9
  • Published in: 2001

A 72-year-old woman whilst being seen for a haemangioma of the right ear, was noted to have a red atrophic plaque on her back adjacent to an old scar where "a cyst" had been removed several years earlier. She stated that the plaque had been enlarging for the past several months. Her general health was good and she has had a past history of basal cell carcinoma removed from her nose and right ear as well as having rheumatic fever as a child. The cutaneous examination revealed a 3 x 1.5 cm, atrophic irregular erythematous plaque in the midback, with a focal area of induration (Fig. 1). On palpation, the lesion was soft except for the indurated area. The rest of the physical examination revealed multiple actinic keratoses on the hands and face but was otherwise unremarkable. She had no lymphadenopathy and the results of her laboratory tests were all within normal limits.