# A Case of Pan-TRK Positive Dermatofibrosarcoma Protuberans Located on the Nose

**Authors:** Romane Teshima, Taiyo Hitaka, Hitomi Sugino, Etsuko Okada, Yu Sawada

PMC · DOI: 10.7759/cureus.54215 · 2024-02-14

## TL;DR

A rare case of a facial tumor showed pan-TRK positivity, suggesting TRK inhibitors could be effective for such tumors.

## Contribution

Reports a unique case of pan-TRK-positive DFSP on the nose with NTRK fusion detected via immunostaining.

## Key findings

- Pan-TRK positivity was detected in DFSP located on the nasal dorsum of a 46-year-old female.
- NTRK fusion gene involvement was confirmed through histological analysis and pan-TRK immunostaining.
- The case suggests TRK inhibitors may be effective for treating pan-TRK-positive DFSP in facial regions.

## Abstract

Dermatofibrosarcoma protuberans (DFSP) is a rare and infiltrative soft tissue tumor. Our report details a distinctive case of DFSP with pan-TRK positivity in the right nasal dorsum of a 46-year-old female. Histological analysis identified NTRK fusion gene involvement in this patient, detectable through pan-TRK immunostaining. The case underscores the significance of comprehensive management for pan-TRK-positive DFSP in challenging facial locations, indicating the potential efficacy of TRK inhibitors.

## Linked entities

- **Diseases:** Dermatofibrosarcoma protuberans (MONDO:0011934)

## Full-text entities

- **Genes:** NTRK1 (neurotrophic receptor tyrosine kinase 1) [NCBI Gene 4914] {aka MTC, TRK, TRK1, TRKA, Trk-A, p140-TrkA}
- **Diseases:** DFSP (MESH:D018223), soft tissue tumor (MESH:D012983)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC10943253/full.md

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Source: https://tomesphere.com/paper/PMC10943253