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Journal of Case Reports
Dermatofibrosarcoma Protuberans: A Rare Metastasis to Pancreas
Himangsu Sarma, Hariharan Ramesh, John M Madipadam, Iona Leekha Mathew
Department of Surgical Gastroenterology, Lakeshore Hospital and Research Centre, Kochi, Ernakulam, Kerala, India 682040.
Corresponding Author:
Dr Himangsu Sarma
Email: himangsu59@gmail.com
Received: 17-NOV-2024 Accepted: 02-APR-2025 Published Online: 05-AUG-2025
DOI: http://dx.doi.org/10.17659/01.2025.0016
Abstract
Background: Dermatofibrosarcoma protuberans (DFSP) is a rare, slow-growing, locally aggressive soft tissue malignancy. While it carries a high risk of local recurrence, its metastatic potential is low. Metastasis to the pancreas is extremely uncommon, with only a handful of cases reported in the literature. Case Report: We describe the case of a 34-year-old woman with DFSP of the right breast who underwent multiple surgeries between 2014 and 2019. During follow-up in 2021, she developed abdominal pain, and imaging revealed a pancreatic mass. Tru-cut biopsy confirmed metastatic DFSP. She subsequently underwent two major resections in 2021, including en-bloc tumor excision and distal pancreato-splenectomy. In 2024, she developed recurrence from the resected pancreatic margin and underwent further tumor debulking. Despite receiving multiple lines of tyrosine kinase inhibitors and chemotherapy, her disease course was marked by repeated recurrences. Conclusion: Although DFSP is primarily a locally aggressive tumor with low metastatic potential, rare systemic metastases, including to the pancreas, can occur. This case highlights the importance of considering metastatic DFSP in unusual locations and emphasizes the need for long-term follow-up and multidisciplinary management.
Keywords : Abdominal Pain, Breast, Chemotherapy, Excision, Metastases.
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