Woman Avoids Medical Examination for Groin Mass, Later Diagnosed as Malignant Skin Tumor

The 27 year old Ms. Mao groin director of a small package is not obvious, because the location is more private, has been embarrassed to see a doctor. Half a year later, she felt that the longer she grew, the bigger she became. After medical treatment, it turned out to be a slow-growing low-grade malignant skin tumor – dermatofibrosarcoma.
Ms. Mao recalled that as early as half a year ago, when she took a bath, she found that her left lower abdomen groin was covered with a piece the size of a nail plate, slightly protruding. Because it doesn’t feel painful and itchy, I didn’t care about it at the beginning. I thought it would disappear after a period of time. Later, it was found that the longer the lump, the bigger it became, and it became a little red. Slowly, the bulge disappeared. The surface of the skin seemed flat, but it seemed to develop under the skin, and there was a slight depression. Due to the location of the parcel is relatively secret, Ms. Mao has been avoiding medical treatment.
On February 24, Ms. Mao felt that the lump was getting bigger and bigger, and finally decided to go to Wuhan Central Hospital for treatment. Wu Bingwei, a doctor in the plastic surgery department of our hospital, made a careful examination. According to the examination report, it is more likely to be dermatofibrosarcoma. Then, the expert team of the Department operated on Ms. Mao in the daytime operation Department, implemented the left lower abdominal tumor and resection margin operation, and removed the subcutaneous tumor. The quick examination results showed that Ms. Mao’s tumor was indeed protuberant fibrosarcoma. In order to reduce the recurrence rate, the doctor expanded the resection along the boundary of the tumor, and carefully repaired the defect.
According to Bai Xinping, director of the plastic surgery department of Wuhan Central Hospital, fibrosarcoma protuberans is a slow-growing low-grade malignant skin tumor, which can occur in any part of the body. It is more common in the trunk skin. At the beginning, it is often just a painless protuberant plaque. It feels a little hard and will appear dark red. Due to its adhesion with subcutaneous fat, muscle and soft tissue, fibrosarcoma protuberans can be seen in the skin, Sometimes skin fibroma will also sag, dimple sign orange peel like change, early generally do not appear very strong physical discomfort, so it is often ignored. Dermatofibrosarcoma protuberans usually infiltrates into deep tissues and may metastasize to other organs or lymph nodes in the late stage. Bai Xinping reminded that when there are different lumps or black nevi in the skin tissue of the body, we must not let them go. We must pay attention to observe the color, size and development of the lumps, not to mention random rubbing and squeezing. If the lumps or black nevi have not been eliminated or changed for a long time, we should see a doctor as soon as possible to find out the causes and treat them symptomatically.

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