1 Department of Burns and Plastic Surgery, Mohammed VI University Hospital, Tangier Morocco.
2 Faculty of Medicine and Pharmacy of Tangier, Abdelmalek Saadi University, Morocco.
World Journal of Advanced Research and Reviews, 2025, 25(01), 433-437
Article DOI: 10.30574/wjarr.2025.25.1.0053
Received on 27 November 2024; revised on 05 January 2025; accepted on 07 January 2025
Primitive schwannoma refers to a rare benign tumor that originates from Schwann cells, which surround and insulate peripheral nerve fibers. These tumors are benign, exhibit slow growth, and have a very low risk of malignant transformation. They can remain asymptomatic for years or cause pain, paresthesia, or neurological deficits. When they develop in atypical regions, such as soft tissues or subcutaneous areas, they may be mistaken for other types of tumor masses.
This is the case in our study, which reports on a patient referred to us for a thoracic cutaneous tumor with a partial biopsy result suggesting a schwannoma. Treatment involved complete surgical excision. Histological analysis of the surgical specimen revealed a surprising finding: a dermatofibrosarcoma of Darrier and Ferrand (DFSP), often considered a differential diagnosis for schwannoma.
This study highlights both the importance of intraoperative frozen section analysis during surgery and the crucial role of the plastic surgeon in managing extensive and deep tissue defects that were unexpected based on the initial clinical diagnosis.
Schwannoma; Dermatofibrosarcoma of Darrier and Ferrand; Thoracic; Latissimus dorsi flap
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Imane El Aissaoui, Rim Labbaci, Nada-Imane Daghouri, Issam diher, Otmane Taybi and Adil Dehhaze. Thoracic schwannoma mimicking a Darier-Ferrand dermatofibrosarcoma: Diagnostic and reconstructive challenges. World Journal of Advanced Research and Reviews, 2025, 25(01), 433-437. Article DOI: https://doi.org/10.30574/wjarr.2025.25.1.0053.
Copyright © 2025 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0