Malignant Fibrous Histocytoma Originating from the Chest Wall

흉부에서 발생한 악성 섬유성 조직구종

  • Lee, Chul-Burm (Department of Thoracic & cardiovascular Surgery, Hanyang University Hospital) ;
  • Chung, Tae-Yul (Department of Thoracic & cardiovascular Surgery, Hanyang University Hospital) ;
  • Halm, Shee-Young (Department of Thoracic & cardiovascular Surgery, Hanyang University Hospital) ;
  • Kim, Hyuk (Department of Thoracic & cardiovascular Surgery, Hanyang University Hospital) ;
  • Jung, Won-Sang (Department of Thoracic & cardiovascular Surgery, Hanyang University Hospital) ;
  • Kim, Young-Hak (Department of Thoracic & cardiovascular Surgery, Hanyang University Hospital) ;
  • Kang, Jung-Ho (Department of Thoracic & cardiovascular Surgery, Hanyang University Hospital) ;
  • Jee, Heng-Ok (Department of Thoracic & cardiovascular Surgery, Hanyang University Hospital) ;
  • Park, Yong-Wook (Department of Pathology, Hanyang University Kuri Hospital)
  • 이철범 (한양대학교 의과대학 흉부외과학교실) ;
  • 정태열 (한양대학교 의과대학 흉부외과학교실) ;
  • 함시영 (한양대학교 의과대학 흉부외과학교실) ;
  • 김혁 (한양대학교 의과대학 흉부외과학교실) ;
  • 정원상 (한양대학교 의과대학 흉부외과학교실) ;
  • 김영학 (한양대학교 의과대학 흉부외과학교실) ;
  • 강정호 (한양대학교 의과대학 흉부외과학교실) ;
  • 지행옥 (한양대학교 의과대학 흉부외과학교실) ;
  • 박용욱 (한양대학 구리병원 병리학교실)
  • Published : 2000.04.01

Abstract

Malignant fibrous histiocytoma(MFH) is a deep-seated pleomorphic sarcoma, which occurs principally as a mass of the extremities, abdominal cavity, or retroperitoneum in adults. However, it only rarely occurs in the chest wall. An 85-year-old man had undeergone excision of a small mass on the right posterior chest wall under local anesthesia 14 months age. However, the lesion did not heal and the mass recurred. He was referred to our hospital after the mass had grown to a size of 10.5$\times$8$\times$4cm with a 3$\times$3cm skin defect. Intraoperative frozen biopsy revealed MFH. An en-bloc wide resection and thin-thickness skin graft from his thigh were performed. Although distant metastasis to the lund developed 14 months later and the patient died 2 months later, there was no local recurrence. Thin-thickness skin graft is a simple method for a wide range skin defect, especially in the old age. He recovered in good condition without any physical disabilities.

Keywords

References

  1. Cancer v.41 Malignant fibrous histiocytoma: An analysis of 200 cases. Weiss SH;Enzinger FM
  2. Cancer v.45 Malignant fibrous histiocytoma: a retrospective study of 167 cases. Kearney MM;Soule EH;Ivins JC.
  3. Surg Today Jpn J Surg v.28 Malignant fibrous histrocytoma originating from the chest wall: Report of a case and collective review of cases. Sawai H;Kamiya A;Kurahashi S;Yamanaka Y;Manabe T
  4. 대흉외지 v.29 흉벽에 발생한 악성 섬유성 조직구종-1례보고- 김애중;구자흥;김공수
  5. 대흉외지 v.20 폐에 발생한 악성 섬유조직구종 나석주;왕영필;김세화;이흥균
  6. J Thorac Cardiovasc Surg v.108 Malignant fibrous histiocytoma of the chest wall developing after pleuropneumonectomy performed for tuberculous pyothorax: Report of an unusual case. Takanami I;Imamura T;Morota N;Kodaira S, Malignant
  7. Skeletal Radiol v.24 Primary osseous malignant fibrous histiocytoma involving a rib. Laverdiere JT;Abrahams TG;Jones MA
  8. Ann Thorac Surg v.41 Primary chest wall tumors: factors affecting survival. King RM;Pairolero PC;Trastex VF;Piehler JM;Payne WS;Bernatz PE.