Clinical Mimicry and Dermatofibrosarcoma Protuberans: A Case Report with a Point to Ponder

Dermatofibrosarcoma protuberans (DFSP) is a very rare cutaneous neoplasm which usually affects the torso. The clinical presentation is nonspecific and can mimic many benign as well as malignant skin lesions. We present a case with clinical diagnostic dilemma which was located over an unusual site to be suspected as DFSP with deceiving feature of cookie cutter sign. Moreover, the skin colored lesion was above a superficial bone, nearly immobile and hard in consistency; which even was mimicking underlying bony lesion on first impression. We have also reviewed the recently published DFSP case presentations and discussed with context to the mimicking nature of the disease.