Background: Derma to fibro sarcomaprotuberans (DFSP) is an unusual fibro histiocytictumour classified as an intermediate-grade malignancy characterized by infiltrative growth and a high propensity for local recurrence after surgical excision. It arise during early to middle age and typically found on the trunk, proximal extremities, head, and neck. Care report: A 35 year old multipara presented at gestational age of 34 weeks with epigastric mass of a year duration that progressively increased as her pregnancy advanced. Examination revealed a subcutaneous mass extending from the epigastric region with shiny, irregular, soft and tender... The symphysio-fundal height was 30 centimetres within which is a singleton foetus with audible foetal hearth rate. She was co-managed with the plastic surgeons as a probable case of rhabdomyosarcoma and was planned for excision biopsy post delivery. She had cervical ripening with Foley’s catheter at 37 weeks and 3 days but it failed and she subsequently had emergency caesarean section, bilateral tubal ligation and wide local excision. She was delivered of a live female baby that weighed 2.4 kilograms. Histology report revealed Derma to fibro sarcomaprotuberans. Conclusion: Derma to fibro sarcoma is a rare tumour with malignant potential. It co-existed with pregnancy and was successfully managed with favourable outcome.