Siti Nurul Aliaa et al Brunei International Medical Journal 2025;21:98-101 Brunei International Medical Journal Facial Nerve Palsy Secondary to a Parotid Abscess: A Rare Occurrence Siti Nurul Aliaa Mohd Nor1*, Jasmine Pei Ying Kho2, Norazwani Azwal2

Dermatofibrosarcoma protuberans (DFSP) is a slowgrowing, locally invasive tumour of the dermis. It commonly presents in the trunks and proximal extremities but is seen to a lesser extent in the head and neck regions. We present a case report of a recurrent DFSP in a 48-year-old Iban woman at the occipital region. The patient underwent wide local excision and removal of outer table of cranium, dressing followed by split thickness skin graft. Histopathological examination confirmed dermatofibrosarcoma protuberans with clear lateral surgical margins and a deep margin of 0.5mm. She is currently undergoing radiotherapy and is planned for 50Grey 25cycles.