Dermatofibrosarcoma Protuberans (DFSP) lower back

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Hi folks,

Not sure how many people with the same diagnosis I might connect with here - apparently we're quite rare - but I thought I'd say hi anyway.

A year after first seeing my GP about a growing lump in my back, I'm a now couple of months after my DFSP diagnosis and a first excision, when the consultant didn't know what it was.

After getting my diagnosis from a general surgery consultant and the local hospital, I was quite reassured reading about it online. DFSP has a really high survival rate and low chance of metastasis. But the consultant who first removed the tumour had awful bedside manner. She explained some factors made her question the diagnosis and ended my final appointment with, "I'm so sorry, you're so young."

She referred me to the Royal Marsden and after a 2 month wait I got an appointment with the consultant. Who had an equally poor bedside manner, but was actually reassuringly dismissive of my concerns, in a weird way. He recommended another excision under general anaesthetic with bigger margins but still fairly superficial. He said, "I think you're worrying about it too much"! Frustratingly, he also said the method of initial excision at my local hospital means my wound after surgery is more likely to open up and my chance of recurrence is higher.

I had those couple of months of doubt where it was possibly something worse. But luckily feel relatively reassured now that it will hopefully be just a nuisance going forward.

I appreciate this is just my experience. It won't reflect those of other people in this group of even with DFSP.

Anyone else out there with DFSP?

  • Hi  

    Searching for DFSP on the forum there have been a few people on here over the years but not many as you can see here

    My wife has Leiomyosarcoma so understand the wonders of a rare cancer diagnosis and sometimes finding good information can be more difficult though sarcoma uk has something here.

    I am sorry to hear about your experience with the doctors, sometimes because they deal with cancer every day they can become a little bit detached from the massive impact it has on their patients lives - well until cancer decides to visit someone they love anyway. Often the savior in that process is the specialist nurses.

    It is likely you will be having checkups for some time yet but hopefully that will be all you notice. That is all my wife has now as her cancer has been stable for over 10 years even if for her there is not a cure at the moment.

    <<hugs>>

    Steve

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  • Hi AlexDFSP 

    I was also recently treated at the Marsden for DFSP. Have had one surgery and due to go back end of June for another as my consultant felt the margins were to small. I must admit they have been wonderful with me. 

    Have you had the second surgery yet ?  

  • Hey Steve,

    Thanks for your message and sorry my reply is so late. 

    Thank you for your empathy and insight. Yes I can appreciate it's probably tedious to since cancer clinicians.  Especially a diagnosis that is so benign. 

    I've compete treatment now,  apart from check ups as you said, and found the rest of my care (especially from the nurses) fairly good. 

    I'm very relieved to be on the other side. I'll have a nasty scar on my back but at least I don't get to see it!

  • Hi Suz1991,

    Really nice to hear about your story.  How have you found your whole journey?

    I had my second surgery in March and found the care within hospital really good.  They discharged me on the day and the worst part of my recovery was short-lived. Unfortunately my wound opened up a week after the operation,  like it did the first time round, and I've had a couple of mild infections. So I've had to have the dressing changed a few times a week since mid March, which has been annoying. I think I'm almost healed, hopefully in time for beach swimming this summer Fingers crossed

    After reviewing the removed tissue the surgeon said I was with a "99.9% probability cured" which was reassuring.  I've got a follow up in September to check if it has recurred. 

    How are you feeling about a second surgery?

  • Really pleased that this journey is hopefully over for you and just regular check ups. Did they say how often those will be ? Did they say what the check ups will entail ? Did you have to have a skin graft ? 

    1. In November I went to my GP with what honestly just looked like a red mark just below my neck but it felt hard to touch which I thought was a bit odd. He was lovely and called me back 3 times and in January referred me on to a local dermatologist where they did a biopsy and came back as DFSP. I got referred to the Marsten and had the surgery shortly after but she wants to remove more now as feels the margins are to small. She told me im best to wait 8 weeks to as she wants my scar and skin around it to get more elasticity with the hope they can pull the skin in even further and avoid a skin graft. I'm pleased she being cautious but I'm not looking forward to the recovery again esspeically as where it is my skin feels constantly tight and pulls.