Case 2
A 40-year-old man presents to the dermatology clinic for evaluation of a skin lesion on his upper back. The patients notes that he had a cyst surgically removed from that spot about a year ago. At the site of the excision, a resultant scar has grown over the past year. The patient notes that the lesion is itchy and sometimes painful. He has not tried any medications on the scar to manage the puritis. The patient’s brother has a history of similar lesions that have appeared after skin trauma. Physical examination of the left upper back reveals a firm, shiny, hyperpigmented tumor that has extended beyond the area of the original scar.

Can you diagnose the condition in Case 2?
A. Keloid
B. Dermatofibroma dermatofibroma,
C. Hypertrophic scar
D. Dermatofibrosarcoma protuberans
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