A Rare Case of Spindle Cell Neoplasm of the Left Leg Managed With Wide Local Excision and Split-Thickness Skin Grafting

Spindle cell neoplasms are a diverse category of tumors of the soft tissue that have disparate histological complexity and malignancy. Dermatofibrosarcoma protuberans, a dermal spindle cell tumor, is a rare but locally destructive neoplasm with high potential for recurrence once incompletely removed. We report the case of a 25-year-old female with a spindle cell neoplasm in the left leg, successfully treated with wide local excision and split-thickness skin grafting. The nature of the tumor was spindle cell, confirmed by histopathology, and the surgical margins were clear. This case emphasizes the significance of proper margin control in spindle cell sarcoma, considers reconstructive factors, and describes the present literature related to the diagnosis and management.

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Publication Details

Journal
Cureus
Published
2025-11-21
DOI
https://doi.org/10.7759/cureus.97401
Primary Topic
Sarcoma Diagnosis and Treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

A Rare Case of Spindle Cell Neoplasm of the Left Leg Managed With Wide Local Excision and Split-Thickness Skin Grafting

R G Santhaseelan, Samir Ahmad, Bipin B. Sinha, Narayan Prasad et al.
Cureus
Sarcoma Diagnosis and Treatment
article

A Rare Case of Spindle Cell Neoplasm of the Left Leg Managed With Wide Local Excision and Split-Thickness Skin Grafting

R G Santhaseelan, Samir Ahmad, Bipin B. Sinha, Narayan Prasad, Barathi Raja Kuppusami
article en

Abstract

Spindle cell neoplasms are a diverse category of tumors of the soft tissue that have disparate histological complexity and malignancy. Dermatofibrosarcoma protuberans, a dermal spindle cell tumor, is a rare but locally destructive neoplasm with high potential for recurrence once incompletely removed. We report the case of a 25-year-old female with a spindle cell neoplasm in the left leg, successfully treated with wide local excision and split-thickness skin grafting. The nature of the tumor was spindle cell, confirmed by histopathology, and the surgical margins were clear. This case emphasizes the significance of proper margin control in spindle cell sarcoma, considers reconstructive factors, and describes the present literature related to the diagnosis and management.

CureusVol. 17(11)
Sree Balaji Dental College and Hospital (IN)
Openalex Percentile: Top 49%
Sarcoma Diagnosis and Treatment
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