DOI: https://doi.org/10.36347/sjmcr.2025.v13i05.114

Pages: 1206-1209

Individualized as a true anatomical and clinical entity in 1924 by Darier and Ferrand, dermatofibrosarcoma is a rare cutaneous tumor of intermediate malignancy, which is characterized by its slow evolution, its local aggressiveness and a high power of local recurrence and the rarity of metastases [1]. It affects preferentially young adults between 20 and 50 years of age, there is no clear gender predominance. It usually presents as a nodular skin mass located mainly on the trunk and extremities [5]. Its prognosis is related to the quality of its surgical removal. We report a case of an advanced and recurring darier and ferrand dermatofibrosarcoma of the back on histological evidence, evolving for 8 years of an 53 year old man, he was operated 4 years before he showed up at our department at the same location without any documents, computed tomography was performed showing an image of a tumor process centered on the left trapezius muscle, hyper vascularized and locally infiltrating, the decision of the staff was to make a large exeresis with margins as described in the literature with immediate coverage by a long dorsal flap.