Case Report: Darier-Ferrand Dermatofibrosarcoma of the Abdomen: Reconstruction Using Negative Pressure Wound Therapy with Locally Available Materials and Cover by Split Thickness Skin Graft

Document Type : Case Report

Authors

ALASSANE OUATTARA UNIVERSITY Ivory Coast

Abstract

Background : Darier-Ferrand dermatofibrosarcoma (DFS) is a rare skin tumor. Darier-Ferrand dermatofibrosarcoma is characterized by frequent relapses, chronic development and low metastatic potential. Complete surgical resection with wide excision and systematic excision of a healthy anatomical barrier is considered like the gold-standard therapy. After Darier-Ferrand dermatofibrosarcoma’s resection, it happened a skin defect,which was covering by several surgical techniques especially controlled wound healing with skin graft or flap. We report a case of Darier-Ferrand dermatofibrosarcoma multi-recurrence’s skin defect treated by controlled wound healing using negative pressure wound therapy( NPWT) with local material.
Case presentation : a 32-year-old Ivorian man.his medical history of recurrent abdominopelvic DFS for 7 years, for which he had undergone two surgical excisions in another medical center. On physical examination, multiple tumors were observed extending from the abdominal wall in supra-umbilical region. After discussion in a multidisciplinary meeting, we opted for wide local excision with systematic excision of a healthy anatomical barrier. The abdominal wall reconstruction was made by controlled wound healing using NPWT with split thickness skin graft.
Conclusion :NPWT with local material, resection in addition to traumatic and infectious etiologies is an good alternative for reconstructive surgery to cover the defect after DFS’ surgical despite limits in low-income country.

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The Egyptian Journal of Plastic and Reconstructive Surgery
Volume 49, Issue 4
October 2025
Pages 341-345

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