Scrotal Dermatofibrosarcoma Protuberans in a Patient with Schizophrenia: A Case Report and Review of the Literature

Dermatofibrosarcoma protuberans (DFSP) is a rare spindle cell soft tissue sarcoma of the dermis and subcutaneous tissue. We present the fourth case of scrotal DFSP in the literature, identified in a 32-year-old male with schizophrenia. Wide surgical excision and radical orchiectomy were performed re...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-02, Vol.16 (2), p.e54369
Main Authors: Ashton, Leah, Yankelevich, Gabrielle R, Perry, Kyler W, Grubb, Robert L
Format: Article
Language:English
Subjects:
Aortic dissection
Case reports
Chromosomes
Growth factors
Intellectual disabilities
Medical prognosis
Metastasis
Pathology
Patients
Psychosis
Sarcoma
Schizophrenia
Surveillance
Testicular cancer
Tumors
Ultrasonic imaging
Urology
Vascular surgery
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Summary:Dermatofibrosarcoma protuberans (DFSP) is a rare spindle cell soft tissue sarcoma of the dermis and subcutaneous tissue. We present the fourth case of scrotal DFSP in the literature, identified in a 32-year-old male with schizophrenia. Wide surgical excision and radical orchiectomy were performed revealing an uninvolved testicle and DFSP of the scrotum. A unique challenge to this case was concurrent aortic dissection and schizophrenia. Social determinants of health are associated with delay in presentation and poor appointment compliance in patients with schizophrenia. Ultimately, DFSP of the scrotum is an extremely rare condition with this presentation being only the fourth report in the literature. It is important to document these unique cases to establish differential diagnoses and optimize management.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.54369