A Clinical Dilemma in the Diagnosis of Dermatofibroma - A Case Report

Abstract

Dermatofibroma is a button like nodule commonly found at lower extremities. It is common benign tumor of mesenchymal origin composed with fibroblast and histiocytes. In this case  a 22 years old male patient came to Shalya Tantra OPD with a complaint of a painless cystic swelling at the right subscapular region. On the basis of clinical findings initially case  was diagnosed as a sebaceous cyst. So it was excised under local anesthesia (Lignocaine hydrochloride 2%). The content of cyst was creamish color tissue of firm consistency which was different than sebum. So the excised tissue was sent for histopathology and the wound was sutured. The histopathology report showed Spindle cell neoplasm: benign fibrous histiocytoma. It was diagnosed as benign fibrous histiocytoma.