Key result
A 71-year-old man with a rare malignant fibrous histiocytoma of the liver underwent successful surgical resection and remained alive 6 months post-operation.
Case Report (n=1)
No
Primary malignant fibrous histiocytoma of the liver is extremely rare, with only 22 cases reported in the literature to date.
症例は71歳の男性で, 発熱, 全身倦怠感を主訴として, 近医から精査目的で当院内科に紹介された.腹部超音波およびCT検査で, 肝左葉を占居する腫瘤を認めた.血管造影ではやや血管増生像と腫瘍濃染を認めた.術中所見では, 腫瘍は肝左葉を中心に存在し, 横隔膜に一部浸潤を認め, 術中迅速病理検査で, malignant fibrous histiocytoma (MFH) と診断されたため, 横隔膜合併肝左葉切除術を施行した.摘出標本では, 腫瘍の大きさは20×10×13cm, 重量は1,300gであり, 黄白色で壊死と膿瘍の部分を認めた.病理組織学的検索の結果, MFH, inflammatory typeと診断された.現在外来で経過観察中であるが, 局所再発が疑われている.肝原発の悪性線維性組織球腫の報告例は非常にまれであり, 現在まで我々の検索しえたかぎりでは22例にすぎず, 文献的考察を加え報告する.
No takes yet. Share an insight, caveat, or question.
大助 et al. (1998) conducted a case report in Malignant fibrous histiocytoma of the liver (n=1). Surgical resection (left lobe of liver and partial left diaphragm) was evaluated on Survival / Clinical outcome. A 71-year-old man with a rare malignant fibrous histiocytoma of the liver underwent successful surgical resection and remained alive 6 months post-operation.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: