Key result
Subtotal removal of a rare primary intracerebral malignant fibrous histiocytoma was successfully performed in a 2-year-old boy.
Case Report (n=1)
This report documents a rare pediatric case of intracerebral malignant fibrous histiocytoma, highlighting its clinical presentation and surgical management.
Successful subtotal resection feasible in rare pediatric intracerebral MFH; extends sparse case literature but leaves optimal management open.
We report herein a rare case of pediatric intracerebral malignant fibrous histiocytoma (MFH). A 2-year-old boy gradually developed mild left hemiparesis and became somnolent. Magnetic resonance imaging upon admission revealed a well-enhanced mass lesion in the right frontotemporal operculum. Subtotal removal of the tumor was successfully performed using a right transsulcal and transcortical approach. The tumor developed as an extraaxial mass with brain adhesion to the arterial wall of the branch of the middle cerebral artery rather than to cerebral tissue. Pathological examination confirmed the presence of inflammatory-type MFH. Pediatric cases of intracerebral MFH are rare, and the possible origin of the tumor is discussed based on clinicopathological findings.
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Fujimura et al. (2002) conducted a case report in Primary intracerebral malignant fibrous histiocytoma (n=1). Subtotal removal of the tumor was evaluated. Subtotal removal of a rare primary intracerebral malignant fibrous histiocytoma was successfully performed in a 2-year-old boy.
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