{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:36:53Z","timestamp":1792787813343,"version":"4.5.0"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"SIMAD University","id":[{"id":"https:\/\/ror.org\/03dynh639","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>Dermatofibrosarcoma protuberans (DFSP) is an uncommon, locally aggressive soft tissue tumor, and its occurrence in the vulva is exceptionally rare. We describe the case of a 35-year-old woman who presented with a recurrent vulvar mass one year after excision of a lesion previously diagnosed as aggressive angiomyxoma. Histopathological examination of the recurrent lesion demonstrated spindle cell proliferation within a myxoid stroma, focal storiform architecture, and honeycomb infiltration of the subcutaneous adipose tissue, findings that were morphologically consistent with myxoid dermatofibrosarcoma protuberans. Because immunohistochemical and molecular testing were unavailable, definitive pathological confirmation could not be established. The patient underwent wide local excision followed by reconstruction with a split-thickness skin graft. Histopathological examination demonstrated involvement of the deep surgical margin. After multidisciplinary discussion, adjuvant imatinib (400 mg once daily) was initiated for 12 months because additional surgery was considered likely to result in significant anatomical and functional morbidity. No evidence of local recurrence was observed during 12 months of follow-up. This case highlights the diagnostic uncertainty and treatment challenges associated with rare vulvar mesenchymal tumors in resource-limited settings and underscores the importance of clinicopathologic correlation, individualized multidisciplinary management, and long-term clinical follow-up.<\/jats:p>","DOI":"10.1177\/17455057261495626","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T20:59:42Z","timestamp":1791493182000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Recurrent vulvar tumor consistent with myxoid dermatofibrosarcoma protuberans in a resource-limited setting: A case report from Somalia"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0718-3911","authenticated-orcid":false,"given":"Rayaan Abdirahman","family":"Hassan","sequence":"first","affiliation":[{"name":"SIMAD University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Widad Mohamed","family":"Hassan","sequence":"additional","affiliation":[{"name":"SIMAD University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fahmo Hussein","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"SIMAD University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5038-8017","authenticated-orcid":false,"given":"Abdullahi Hassan","family":"Elmi","sequence":"additional","affiliation":[{"name":"SIMAD University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariam Mohamed","family":"Mohamud","sequence":"additional","affiliation":[{"name":"SIMAD University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kadra Hassan","family":"Mohamud","sequence":"additional","affiliation":[{"name":"SIMAD University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahmo Mohamed","family":"Ali","sequence":"additional","affiliation":[{"name":"SIMAD University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_3_9_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2013.08.003"},{"key":"e_1_3_9_3_2","volume-title":"StatPearls. Treasure Island, FL","author":"Prieto VM","year":"2024","unstructured":"Prieto VM, Shea CR. Dermatofibrosarcoma protuberans. In. StatPearls. Treasure Island, FL. StatPearls Publishing, 2024."},{"key":"e_1_3_9_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00432-009-0550-3"},{"key":"e_1_3_9_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2006.09.006"},{"key":"e_1_3_9_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/cancers16010222"},{"key":"e_1_3_9_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000478-198307000-00009"},{"key":"e_1_3_9_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11864-017-0498-5"},{"key":"e_1_3_9_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(15)00223-5"},{"key":"e_1_3_9_10_2","doi-asserted-by":"publisher","DOI":"10.4314\/aas.v20i4.6"},{"issue":"4","key":"e_1_3_9_11_2","first-page":"249","article-title":"Molecular and clinical analysis of dermatofibrosarcoma protuberans treated with imatinib","volume":"6","author":"McArthur GA","year":"2005","unstructured":"McArthur GA, Demetri GD, van Oosterom A, et al. Molecular and clinical analysis of dermatofibrosarcoma protuberans treated with imatinib. Lancet Oncol 2005; 6(4): 249\u2013256.","journal-title":"Lancet Oncol"},{"key":"e_1_3_9_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/PAS.0b013e31802ff7e7"},{"key":"e_1_3_9_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/PGP.0000000000000472"},{"key":"e_1_3_9_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/DAD.0000000000000421"},{"issue":"4","key":"e_1_3_9_15_2","first-page":"338","article-title":"Dermatofibrosarcoma protuberans of the vulva: a mesenchymal tumour with a broad differential diagnosis and review of the literature","volume":"106","author":"Gilani SM","year":"2014","unstructured":"Gilani SM, Al-Khafaji B. Dermatofibrosarcoma protuberans of the vulva: a mesenchymal tumour with a broad differential diagnosis and review of the literature. Pathologica 2014; 106(4): 338\u2013341.","journal-title":"Pathologica"},{"key":"e_1_3_9_16_2","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.2000.5821"},{"issue":"6","key":"e_1_3_9_17_2","first-page":"894","article-title":"Dermatofibrosarcoma protuberans: treatment with Mohs micrographic surgery","volume":"50","author":"Snow SN","year":"2004","unstructured":"Snow SN, Gordon EM, Larson PO, et al. Dermatofibrosarcoma protuberans: treatment with Mohs micrographic surgery. 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