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  • Title: Atrophic dermatofibrosarcoma protuberans: an uncommon and misleading variant.
    Author: Wu JK, Malik MM, Egan CA.
    Journal: Australas J Dermatol; 2004 Aug; 45(3):175-7. PubMed ID: 15250897.
    Abstract:
    A 23-year-old man presented with an atrophic lesion on his left anterior shoulder that had been present for at least 10 years. A previous biopsy had suggested a fibrohistiocytic origin; however, clinically it resembled morphoea or atrophoderma, and the lesion was observed. Fifteen months later, the lesion was noted to have grown slightly. A repeat biopsy showed dermatofibrosarcoma protuberans, with a storiform spindle cell proliferation with positive CD34 staining. The lesion was excised with a 3-cm margin. Awareness of this rare presentation may assist in earlier diagnosis.
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