Dermatofibrosarcoma protuberans metastasizing to lymph nodes: A case report and review of literature

Dermatofibrosarcoma Protuberans (DFSP) is an uncommon cutaneous soft tissue tumor. It is locally invasive and is known to recur. Metastases are rare a nd occur most commonly to the lungs. Metastasis to lymph nodes is extremely rare with only a few case reports in literature. The management strategy f or such lymph node metastases remains controversial because of rarity of th e condition. We report a case of DFSP of the lower limb with definite ingui nal node secondaries managed by loco-regional surgery. We recommend that bl ock dissection of lymph nodes should be performed in all cases with seconda ries. (C) 1999 Wiley-Liss, Inc.