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Living with Dermatofibrosarcoma protuberans

A rare, slow-growing skin cancer that starts in the deeper layers of the skin and can return after removal.

Understanding Dermatofibrosarcoma protuberans

Dermatofibrosarcoma protuberans is a rare type of cancer that causes a tumor in the deep layers of the skin.

It is a soft tissue sarcoma. The tumor usually starts as a small, firm patch of skin that is purplish, reddish, or flesh-colored, and it grows slowly. It is most common on the torso. People usually first notice it in their thirties. It tends to return after removal but does not often spread.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Firm lump under the skin
  • Redness of the skin
  • Thickened skin
  • Open skin sore (ulcer)
  • Skin tumors

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include cancer specialists, genetic specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Sarcoma Foundation of America and The Skin Cancer Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Cancer specialists (oncologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Sarcoma Foundation of America, The Skin Cancer Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Sarcoma Foundation of America and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How often should the area be checked for the tumor returning?
What type of surgery is needed?
Which specialists should be on my care team?

Quick facts

Symptoms usually startany time in life

GARD doesn't describe a cause for this condition yet.

GeneticSkin

Also known as: dermatofibrosarcoma; dermatofibrosarcoma protuberans, somatic; dfsp; familial dermatofibrosarcoma protuberans (subtype); giant cell fibroblastoma; giant cell fibroblastoma of skin

Patient organizations

Source: NIH GARD · Dermatofibrosarcoma protuberansGARD ID 9569 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Dermatofibrosarcoma protuberans.

Explore the Dermatofibrosarcoma protuberans blog

Explore research for Dermatofibrosarcoma protuberans

Explore actively recruiting Dermatofibrosarcoma protuberans studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Dermatofibrosarcoma protuberans with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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