PMID- 36377270 OWN - NLM STAT- MEDLINE DCOM- 20221121 LR - 20221121 IS - 1610-0387 (Electronic) IS - 1610-0379 (Linking) VI - 20 IP - 11 DP - 2022 Nov TI - Dermatofibrosarcoma protuberans of the face: A clinicopathologic and molecular study of 34 cases. PG - 1463-1473 LID - 10.1111/ddg.14882 [doi] AB - BACKGROUND: Dermatofibrosarcoma protuberans (DFSP) is one of the most common dermal sarcomas, but facial DFSP is rare. PATIENTS AND METHODS: The clinicopathological characteristics of 34 facial DFSPs were reviewed. Additional immunostaining (CD34) and PDGFB/COL1A1-PDGFB fluorescence in situ hybridization (FISH) detection were performed. RESULTS: Patients were aged from 24 to 64 years (mean 42.9 years), with a male-to-female ratio of 4.7 : 1. Morphologically, classic DFSP (25/34, 73.5 %), pigmented DFSP (2/34, 5.9 %), DFSP with myoid differentiation (1/34, 2.9 %) and fibrosarcomatous DFSP (FS-DFSP) (6/34, 17.6 %) were found. Moreover, myxoid degeneration was observed in three FS-DFSP cases (3/6, 50.0 %). All 29 cases that underwent CD34 immunohistochemistry exhibited positive staining (100 %). Genetically, PDGFB rearrangement/COL1A1-PDGFB fusion was detected in 94.1 % (16/17) of patients. Regarding prognosis, the recurrence (83.3 % vs. 59.1 %) and metastasis (33.3 % vs. 0 %) rates were higher in FS-DFSPs than that in ordinary DFSPs. All available surgical margins were positive before DFSPs recurrence. All patients with negative excision or re-excision margins were alive without evidence of disease (mean, 81.8 months; median, 81 months). CONCLUSIONS: Facial DFSP occurs predominantly in males, while FS-DFSPs are more likely to exhibit myxoid degeneration and a worse prognosis. Notably, negative surgical margin status determined a satisfactory prognosis. CI - (c) 2022 Deutsche Dermatologische Gesellschaft (DDG). Published by John Wiley & Sons Ltd. FAU - Han, Qianqian AU - Han Q AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Chen, Min AU - Chen M AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Yang, Jieliang AU - Yang J AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Du, Tianhai AU - Du T AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Peng, Heng AU - Peng H AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, Sichuan, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20221114 PL - Germany TA - J Dtsch Dermatol Ges JT - Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG JID - 101164708 RN - 0 (Antigens, CD34) RN - 0 (Proto-Oncogene Proteins c-sis) SB - IM MH - Female MH - Humans MH - Male MH - Antigens, CD34 MH - *Dermatofibrosarcoma/diagnosis/genetics/surgery MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Proto-Oncogene Proteins c-sis/genetics MH - *Skin Neoplasms/genetics/surgery/diagnosis MH - Adult MH - Middle Aged EDAT- 2022/11/16 06:00 MHDA- 2022/11/19 06:00 CRDT- 2022/11/15 02:13 PHST- 2022/04/12 00:00 [received] PHST- 2022/07/25 00:00 [accepted] PHST- 2022/11/16 06:00 [pubmed] PHST- 2022/11/19 06:00 [medline] PHST- 2022/11/15 02:13 [entrez] AID - 10.1111/ddg.14882 [doi] PST - ppublish SO - J Dtsch Dermatol Ges. 2022 Nov;20(11):1463-1473. doi: 10.1111/ddg.14882. Epub 2022 Nov 14.