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Fibrous tumors represent a diverse subtype of soft tissue tumors and can represent benign conditions as well as frankly malignant sarcomas. Desmoid tumors and dermatofibrosarcoma protuberans are more difficult to classify and tend to be considered in the intermediate risk category. They are distinct entities, but both are locally aggressive processes which are plagued with attendant morbidity and high recurrence rates. Complete surgical resection is the mainstay of treatment.