Presentation
Multiple abdominal wall painless nodules and left side body weakness
Patient Data
Soft tissue masses in the anterior abdominal wall, above and to the right of the umbilicus. The largest measures 5.8 cm x 2.84 cm. These masses have a uniform density and show contrast enhancement. Several smaller adjacent cutaneous nodules. No signs of internal necrosis, cystic components, or calcification.
Coarse, calcified right diaphragmatic pleural plaque.
Case Discussion
A 40-year-old man was admitted to the hospital with left sided hemiparesis and a painless abdominal wall mass.
A brain CT scan (not included) revealed an acute ischemic infraction in the left MCA territory.
An abdominal CT scan showed well-defined, homogenously enhancing masses and nodules in the subcutaneous fat of his abdomen, some of which extended to the skin surface.
A biopsy from the largest abdominal wall mass showed it to be a slow-growing, low-grade cutaneous fibrosarcoma consistent with dermatofibrosarcoma protuberans.
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