Dermatofibrosarcoma Protuberans on Tattooed Skin: A Case Report

E, De Antoni; Brambullo, Tito; Pescarini, Elena; Salmaso, Roberto; Bassetto, Franco; Vindigni, Vincenzo

doi:10.1097/01.asw.0000613548.11947.b4

Cited by 9 publications

(12 citation statements)

References 19 publications

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“…These include not only benign neoplasms (Table 1) [3][4][5][6][7][8][9][10][11][12][13], but also lymphoid conditions (Table 2) [12,14,15]. In addition, squamous neoplasms (similar to the squamous cell carcinoma observed in the man in this report) and other malignancies have been noted to appear within a tattoo (Table 3) [1][2][3]12,[16][17][18][19]. a This is also referred to as an epidermal inclusion cyst or an epidermoid cyst.…”

Section: Discussionmentioning

confidence: 80%

“…Epithelial-derived tumors are the malignant cutaneous neoplasm most frequently observed to develop within a tattoo (Table 3) [1][2][3]12,[16][17][18][19]. These include at least 43 patients with squamous neoplasms such as keratoacanthoma and squamous cell carcinoma, including the man in this report [1,2].…”

Section: Neoplasm Referencesmentioning

confidence: 94%

“…The fourth patient (the 52-year-old man) originally received his tattoo when he was 37 years old; five years later, the tattoo was partially removed using a laser. Seven years before the diagnosis of his dermatofibrosarcoma protuberans, he had a new tattoo placed in the same location as the original tattoo [18].…”

Section: Neoplasm Referencesmentioning

confidence: 99%

“…The tattoo was either located on the back (two patients) or an extremity: forearm (one man) or thigh (one woman). The tattoo was black (three patients) or red (one patient) [18].…”

Section: Neoplasm Referencesmentioning

confidence: 99%

“…The 29-year-old woman and the 35-year-old man who initially had a small excision to determine the diagnose subsequently had a wide local excision with either a three-centimeter or four-centimeter margin, respectively. The other two patients had removal of the residual tumor using Mohs micrographic surgery as the definitive treatment of their dermatofibrosarcoma protuberans [18].…”

Section: Neoplasm Referencesmentioning

confidence: 99%

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Squamous Cell Carcinoma and Tattoo: A Man With a Tattoo-Associated Squamous Cell Carcinoma and Review of Benign Tumors, Lymphoid Conditions, and Malignant Neoplasms Occurring Within a Tattoo

Cohen¹

2022

Cureus

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Tattoos, a common form of body adornment, have been associated with numerous cutaneous complications. These include not only benign neoplasms and malignant tumors but also lymphoid conditions occurring within the tattoo. Tattoo-associated dermatomyofibroma, epidermoid inclusion cyst, hemangioma, lipoma, milia, and pilomatricoma are benign lesions that have each only been described in one individual. However, there are only a few reports of persons with either dermatofibroma or seborrheic keratoses within their tattoo; also, benign nevi within a tattoo may be more common than the number of reported individuals. In contrast, there are multiple patients with tattoo-associated pseudoepitheliomatous hyperplasia. Lymphoid conditions that have been observed in a tattoo include single patients with either lymphomatoid papulosis or B-cell lymphoma; however, several individuals have been described with pseudolymphoma developing within their tattoo. Tattoo-associated cutaneous cancer predominantly includes individuals with squamous neoplasms (such as keratoacanthomas and squamous cell carcinomas) and malignant melanoma; however, basal cell carcinoma originating within a tattoo is not uncommon. A 57year-old man is described who received a tattoo on his left forearm 35 years earlier; he subsequently developed a squamous cell carcinoma in the black tattoo ink. In contrast to the patient in this report, tattooassociated squamous neoplasms usually develop within a median of four weeks after tattoo inoculation, touch-up, or laser-assisted removal. Also, in contrast to the reported patient, tattoo-associated squamous neoplasms are more commonly observed in red tattoos. However, malignant melanoma and basal cell carcinoma more frequently occur in black and darker-pigmented tattoos. In addition, dermatofibrosarcoma protuberans, cutaneous leiomyosarcoma, and invasive breast duct carcinoma cutaneous metastases have each been described to appear within a patient's tattoo. It remains to be determined whether tattoo inoculation or tattoo pigment, or both have an epidemiologic role in the subsequent development of benign, lymphoid, or malignant lesions within the tattoo. Several observations support either a direct or indirect role of tattooing as a contributing factor and tattoo pigment as a carcinogen in the etiology of tattoo-associated malignancies. Investigation into the possible relationship between tattoos and cancer development is in progress.

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Section: Discussionmentioning

confidence: 80%

Section: Neoplasm Referencesmentioning

confidence: 94%

Section: Neoplasm Referencesmentioning

confidence: 99%

“…The tattoo was either located on the back (two patients) or an extremity: forearm (one man) or thigh (one woman). The tattoo was black (three patients) or red (one patient) [18].…”

Section: Neoplasm Referencesmentioning

confidence: 99%

Section: Neoplasm Referencesmentioning

confidence: 99%

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