Atrophic dermatofibrosarcoma protuberans: report of a case demonstrated by detecting COL1A1-PDGFB rearrangement

• Main Authors: Qiao Jianjun, Patel Kayuri U, López-Terrada Dolores, Fang Hong
• Format: Article
• Language: English
• Published: BMC 2012-11-01
• Series: Diagnostic Pathology
• Subjects: Dermatofibrosarcoma protuberans; COL1A1-PDGFB; CD34; Atrophic; Sarcoma
• Online Access: http://www.diagnosticpathology.org/content/7/1/166

<p>Abstract</p> <p>Dermatofibrosarcoma protuberans is a locally aggressive mesenchymal neoplasm. It usually presents as an indurated plaque that protrudes above the surface of the skin. Some patients have clinically persistent plaques that might be atrophic. The atrophic variant of dermatofibrosarcoma protuberans may be confused with some common skin diseases with atrophic appearance. We reported a 40-year-old woman who had a 10-year history of an atrophic dermatofibrosarcoma protuberans. Molecular analysis showed a fusion between <it>COL1A1</it> exon 31 to exon 2 of <it>PDGFB</it>. The lesion was totally excised, with negative margins of the resection demonstrated by CD34 immunostaining. To our knowledge, this is the second case of atrophic dermatofibrosarcoma protuberans confirmed by detection of COL1A1-PDGFB fusion gene. This appears to be the first report of a fusion between <it>COL1A1</it> exon 31 to exon 2 of <it>PDGFB</it> in atrophic dermatofibrosarcoma protuberans.</p> <p>Virtual slides</p> <p>The virtual slides for this article can be found here: <url>http://www.diagnosticpathology.diagnomx.eu/vs/1249657688795311</url></p>