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Open Access Case Report

Atrophic dermatofibrosarcoma protuberans: report of a case demonstrated by detecting COL1A1-PDGFB rearrangement

Jianjun Qiao1, Kayuri U Patel2, Dolores López-Terrada2 and Hong Fang1*

Author Affiliations

1 Department of Dermatology, The First Affiliated Hospital, College of Medicine, Zhejiang University, No. 79, Qingchun Road, Hangzhou, 310003, People’s Republic of China

2 Department of Pathology, Texas Children’s Hospital and Baylor College of Medicine, Houston, TX, 77030, USA

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Diagnostic Pathology 2012, 7:166  doi:10.1186/1746-1596-7-166

Published: 30 November 2012

Abstract

Dermatofibrosarcoma protuberans is a locally aggressive mesenchymal neoplasm. It usually presents as an indurated plaque that protrudes above the surface of the skin. Some patients have clinically persistent plaques that might be atrophic. The atrophic variant of dermatofibrosarcoma protuberans may be confused with some common skin diseases with atrophic appearance. We reported a 40-year-old woman who had a 10-year history of an atrophic dermatofibrosarcoma protuberans. Molecular analysis showed a fusion between COL1A1 exon 31 to exon 2 of PDGFB. The lesion was totally excised, with negative margins of the resection demonstrated by CD34 immunostaining. To our knowledge, this is the second case of atrophic dermatofibrosarcoma protuberans confirmed by detection of COL1A1-PDGFB fusion gene. This appears to be the first report of a fusion between COL1A1 exon 31 to exon 2 of PDGFB in atrophic dermatofibrosarcoma protuberans.

Virtual slides

The virtual slides for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1249657688795311 webcite

Keywords:
Dermatofibrosarcoma protuberans; COL1A1-PDGFB; CD34; Atrophic; Sarcoma