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Dermatofibrosarcoma Protuberans (DFSP) is a locally invasive neoplasm of soft tissue. Though distant metastasis is rare, it has high recurrence rate. The authors here report a case of recurrent DFSP in a 50 year male who presented with a large protuberant tumor involving anterior chest and abdominal wall with a history of fleeting pain. Wide local excision was performed with 3 cm free margin followed by repair of the wound with a right latissimus dorsi flap and a non-absorbable mesh. Histopathology and immunohistochemical staining findings were consistent with the diagnosis of dermatofibrosarcoma protuberance.
Pulmonary and Critical Care Medicine