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A) Representative H&E slide of the primary dermatofibrosarcoma of fibrosarcomatous variant. Picture represents subcutaneous vulva lesion composed of spindle cells arranged into fascicles with mild cellular pleomorphism and brisk mitotic activity (25–30 mitotic figures per 10HPF) with foci of degeneration and necrosis. B) Immediate post-operative photo following vertical rectus-abdominal myocutaneous flap (VRAM) reconstruction. C) Six-month follow up image of vulvar reconstruction.
