Work

Application of volume displacement technique in the operation of breast dermatofibrosarcoma protuberans: A case report

Year: 2025

Type: article

Abstract: RATIONALE: Dermatofibrosarcoma protuberans (DFSP) of the breast is exceedingly rare. Surgical management requires achieving negative margins while preserving breast aesthetics, which presents a significant challenge. This case demonstrates the use of the volume displacement technique as a reconstructive approach to balance oncologic safety with cosmetic outcomes. PATIENT CONCERNS: A 41-year-old woman was referred for evaluation of a palpable mass in the left breast, identified during routine physical examination. She reported no pain or systemic symptoms. DIAGNOSES: Imaging revealed a subcutaneous mass with mixed echogenicity and abundant vascularity. Core biopsy suggested a spindle cell tumor. Histopathology and immunohistochemistry confirmed the diagnosis of DFSP (CD34 positive, Vimentin positive, negative for other markers). INTERVENTIONS: The patient underwent wide local excision with negative margins under general anesthesia, followed by immediate reconstruction using the volume displacement technique to preserve breast contour. OUTCOMES: Postoperative pathology confirmed complete tumor removal with negative margins. The patient recovered without complications, and no recurrence was observed during follow-up. Cosmetic results were satisfactory. LESSONS: DFSP of the breast is rare, and achieving oncologic safety without compromising aesthetics is challenging. The volume displacement technique offers a valuable reconstructive option, allowing wide excision while maintaining breast contour. This approach may serve as a useful strategy in similar cases, though further studies are needed to confirm its broader applicability and long-term outcomes.

Source: Medicine

DOI: 10.1097/md.0000000000045188

Authors: Sen Li, Yingfang Shi, Zhichun Wang

Institution: Jiujiang First People's Hospital

Language: English

Topic: Breast Implant and Reconstruction

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,950