DOI: https://doi.org/10.36347/sjmcr.2025.v13i09.016

Pages: 2025-2028

Dermatofibrosarcoma protuberans (DFSP), is a rare, slow-growing cutaneous sarcoma with high local recurrence and low metastatic potential. We report the case of a 39-year-old male presented with a recurrent, painless mass in the left scapular region, previously excised at a non-specialized center. MRI showed a well-defined subfascial lesion without muscle invasion. Histology and immunohistochemistry confirmed DFSP with strong CD34 positivity. The patient underwent wide local excision, including resection of the muscle aponeurosis. Skin coverage was achieved with a split-thickness graft, and recovery was uneventful. In this presentation we aim to highlight the importance of early recognition and multidisciplinary management to prevent and minimize recurrence risk.