Key result
Surgical excision of a rare 15 cm pleomorphic malignant fibrous histiocytoma on the left hemithorax resulted in a favorable outcome with no local recurrence or complications after 3 years.
Case Report (n=1)
No
Surgery with clear resection margins remains the cornerstone of treatment for malignant fibrous histiocytoma to eradicate the disease and avoid complications.
Case supports wide excision for rare thoracic MFH; leaves open generalizability and optimal multimodal strategies.
Malignant fibrous histiocytoma is also known as malignant fibrous xanthoma and is a form of neoplasm with uncertain histological origin. This tumour is rich in histiocytes and fibroblasts. MFH represent one on the most common type of soft tissue sarcoma but it has a low incidence in general population. We report the case of a 60 years old male patient, presented at the University Emergency Hospital Bucharest for a tumoral mass on the left hemithorax, in evolution for about 1 year, with an accelerated grow in the last 6 months. This case is typically because the patient is a male and he is 60 years old (range 50-70 years). In the same time, there are some particularities that make the case special and determine us to draw some conclusions about the management of this pathology. Histiocytoma represent a rare tumoral pathology and it is difficult to do a differential diagnostic preoperatively. Surgery is the cornerstone of treatment for all soft tissues. The goal of surgery is to eradicate disease in the affected area. All excisions of tumoral mass must be with resection margins for oncological security to avoid the possible complications.
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Nica et al. (2016) conducted a case report in Malignant fibrous histiocytoma (n=1). Surgical excision was evaluated on Local recurrence or complications. Surgical excision of a rare 15 cm pleomorphic malignant fibrous histiocytoma on the left hemithorax resulted in a favorable outcome with no local recurrence or complications after 3 years.
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