Darier-Ferrand dermatofibrosarcoma of the abdomen: reconstruction using negative pressure wound therapy with locally available materials and cover by split thickness skin graft

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.