This case report details an extremely rare presentation of primary malignant fibrous histiocytoma in the right ventricle.
May prompt consideration of malignant fibrous histiocytoma in right ventricular mass differentials; single case extends sparse descriptions but leaves management questions open.
Right-sided cardiac malignant fibrous histiocytoma (MFH) is extremely rare, and to the authors' knowledge only three cases have been reported. In this study, a case of MFH in the right ventricle, the septum, and the pulmonary valves and artery in a 47 year old male is described. The tumor showed typical pathological features of MFH, such as cellular pleomorphism, storiform pattern and abundant mitoses. Immunohistochemical and electron microscopical findings were compatible with MFH, and excluded the possibility of leiomyosarcoma and angiosarcoma. Whole body examination, including Gallium scintigram, localized the primary site to the heart. The details of this case are presented with a review of the reported cases of cardiac MFH.
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Teramoto et al. (1995) studied this question.
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