Dermatofibrosarcoma protuberans (DFSP) is a rare and slowly growing cutaneous tumor with high risk of local invasion and recurrence. Here, we report a case of a DFSP of the anterior abdominal wall diagnosed in a 45-year-old woman. The clinical examination showed an indurated well-limited oval mass localized in the supra-umbilical level and measuring 5 cm by 3 cm. The histological finding of skin biopsy was consistent with the diagnosis of DFSP. A wide local excision was performed while respecting minimum safety margins of 3 cm. The primary closure was possible after advancing the subcutaneous adjacent tissue. The histological examination of the surgical specimen confirmed the DFSP diagnosis and determined safe microscopic margins. After 4 years of regular follow-up, no locoregional or distant recurrence was observed. We discuss through this case the diagnosis difficulties and the particularities of the abdominal wall localization.
This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-NoDerivatives License 4.0 (CC BY-NC-ND 4.0) where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. AbstractHydatid disease, is a zoonotic infection caused by the Echinococcus parasite, localized especially at the liver, herein we described a case which presented with epigastric pain and Hydatid cyst of the pancreas. 19-year-old female with a history of stage B pancreatitis one month ago presented with epigastric pain, and her physical examination showed an epigastric mass 5 cm in diameter. Abdominal computed tomography showed a pancreatic tumor: Cystadenoma or Cystadenocarcinoma. Magnetic resonance imaging showed a mucinous intra-papillary tumor of the pancreas without signs of degeneration. Echo endoscopy realized talks about an aspect of a pseudo papillary solid tumor of the pancreas or false cyst of the pancreas. Surgery discovered finally a hydatid cyst of the pancreas, then a medial pancreatectomy was performed with anastomosis between the tail of the pancreas and the stomach. In conclusion, hydatid cyst of the pancreas should be considered in the differential diagnosis of cystic lesion of the pancreas, and in some cases surgery remains the only definitive diagnostic and therapeutic tool. Keywords: Hydatid disease, Pancreas, Medial pancreatectomy ÖzHidatik hastalık, özellikle karaciğerde lokalize olan Echinococcus parazitinin neden olduğu zoonotik bir enfeksiyondur. Burada epigastrik ağrı ve pankreasın hidatik kisti ile başvuran bir olguyu tanımladık. Bir ay önce evre B pankreatit öyküsü olan 19 yaşında kadın hasta epigastrik ağrı ile başvurdu ve fizik muayenesinde 5 cm çapında epigastrik kitle saptandı. Abdominal bilgisayarlı tomografide pankreas tümörü görüldü: kistedenom yada kistadenokarsinom. Manyetik rezonans görüntülemede dejenerasyon belirtileri olmaksızın pankreasın intra-papiller tümörüne rastlandı. Eko endoskopi pankreasın pseudo papiller solid tümörünün veya pankreasın yanlış kistinin bir yönüyle ilgili görüşmelerde bulundu. Ameliyat sonunda nihayetinde pankreas kist hidatiği saptandı, daha sonra pankreas ve midenin kuyruğu arasında anastomoz ile medial pankreatektomi yapıldı. Sonuç olarak, pankreasın kistik lezyonunun ayırıcı tanısında pankreasın hidatik kisti düşünülmeli ve bazı olgularda cerrahi tek kesin tanı ve tedavi aracı olarak kalmaktadır.
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