{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:40:04Z","timestamp":1787071204657,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J West Afr Coll Surg"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Dermatofibrosarcoma protuberans (DFSP) is a rare, locally aggressive soft tissue sarcoma with a low rate of metastasis, affecting around four per million annually. Representing about 1% of sarcomas, often manifests on the trunk or proximal extremities. Most cases are low-grade, but some have a high-grade fibrosarcomatous component, which is linked to a higher risk of recurrence and metastasis. Here, we present a 55-year-old male with DFSP, initially presenting as a non-healing ulcer on his foot. Despite surgical excision, radiotherapy, and chemotherapy with imatinib, the patient developed a recurrent ulcer and calcaneum involvement, leading to below-knee amputation. One year later, inguinal lymph node metastasis was detected. After inguinal lymph node dissection and additional radiotherapy, the patient showed no further active lesions. This case highlights the rarity of lymph node metastasis in DFSP and the ongoing need for research into optimal management strategies.<\/jats:p>","DOI":"10.4103\/jwas.jwas_136_24","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T11:09:22Z","timestamp":1738667362000},"page":"92-95","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Navigating the Uncommon: Inguinal Metastasis in Dermatofibrosarcoma Protuberans"],"prefix":"10.4103","volume":"16","author":[{"given":"Mangipudi Surya","family":"Pratap","sequence":"first","affiliation":[{"name":"Department of Surgery, Lady Hardinge Medical College, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Usha","family":"Kalson","sequence":"additional","affiliation":[{"name":"Department of Surgery, Lady Hardinge Medical College, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyanka","family":"Dedha","sequence":"additional","affiliation":[{"name":"Department of Surgery, Lady Hardinge Medical College, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priya","family":"Hazrah","sequence":"additional","affiliation":[{"name":"Department of Surgery, Lady Hardinge Medical College, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,2,4]]},"reference":[{"key":"CIT0001-20260206","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1016\/j.suc.2009.02.005","article-title":"Unusual skin tumors: Merkel cell carcinoma, eccrine carcinoma, glomus tumors, and dermatofibrosarcoma protuberans","volume":"89","author":"Kampshoff","year":"2009","journal-title":"Surg Clin North Am"},{"key":"CIT0002-20260206","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1097\/00000478-200604000-00002","article-title":"The prognostic significance of fibrosarcomatous transformation in dermatofibrosarcoma protuberans","volume":"30","author":"Abbott","year":"2006","journal-title":"Am J Surg Pathol"},{"key":"CIT0003-20260206","first-page":"1855","article-title":"Dermatofibrosarcoma protuberans: A clinical analysis","volume":"16","author":"Lyu","year":"2018","journal-title":"Oncol Lett"},{"key":"CIT0004-20260206","doi-asserted-by":"crossref","first-page":"1752","DOI":"10.3390\/jcm9061752","article-title":"Dermatofibrosarcoma protuberans: Update on the diagnosis and treatment","volume":"9","author":"Hao","year":"2020","journal-title":"J Clin Med"},{"key":"CIT0005-20260206","first-page":"406","article-title":"Review: Dermatofibrosarcoma protuberans: Histologic approach and updated treatment recommendations","volume":"7","author":"Sundram","year":"2009","journal-title":"Clin Adv Hematol Oncol"},{"key":"CIT0006-20260206","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1001\/archotol.1984.00800320052012","article-title":"Dermatofibrosarcoma protuberans of the head and neck","volume":"110","author":"Barnes","year":"1984","journal-title":"Arch Otolaryngol"},{"key":"CIT0007-20260206","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1016\/j.ctrv.2008.06.002","article-title":"Dermatofibrosarcoma protuberans: Wide local excision vs. Mohs micrographic surgery","volume":"34","author":"Paradisi","year":"2008","journal-title":"Cancer Treat Rev"},{"key":"CIT0008-20260206","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1002\/(SICI)1096-9098(199911)72:3<178::AID-JSO12>3.0.CO;2-7","article-title":"Dermatofibrosarcoma protuberans metastasizing to lymph nodes: A case report and review of literature","volume":"72","author":"Lal","year":"1999","journal-title":"J Surg Oncol"},{"key":"CIT0009-20260206","first-page":"181","article-title":"Late isolated regional lymph node recurrence of dermatofibrosarcoma protuberans of the abdominal wall","volume":"15","author":"Chik","year":"2012","journal-title":"Hong Kong J Radiol"},{"key":"CIT0010-20260206","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1097\/00000658-196711000-00011","article-title":"Dermatofibrosarcoma protuberans: An analysis of 86 cases\u2014Five with metastasis","volume":"166","author":"McPeak","year":"1967","journal-title":"Ann Surg"},{"key":"CIT0011-20260206","first-page":"674","article-title":"Dermatofibrosarcoma protuberans. A review of twelve cases","volume":"35","author":"Tamoney","year":"1971","journal-title":"Conn Med"}],"container-title":["Journal of West African College of Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_136_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:43:02Z","timestamp":1787067782000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_136_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,4]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jwas.jwas_136_24","relation":{},"ISSN":["2276-6944","2992-5827"],"issn-type":[{"value":"2276-6944","type":"print"},{"value":"2992-5827","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,4]]},"assertion":[{"value":"2024-09-15","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-15","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}