Tuberc Respir Dis.  2003 Jun;54(6):645-650. 10.4046/trd.2003.54.6.645.

A Case of Primary Malignant Fibrous Histiocytoma of the Diaphragm

Affiliations
  • 1Department of Internal Medicine, School of Medicine, Kyung Hee University, Seoul, Korea. casimirus@chollian.net
  • 2Department of Internal Medicine, School of Medicine, Eulji University, Korea.
  • 3Department of Pathology School of Medicine, Kyung Hee University, Seoul, Korea.

Abstract

A malignant fibrous histiocytoma (MFH) is a major subset of soft tissue sarcomas, which occurs principally on the extremities or in the retroperitoneum, as well as on the head and neck of elderly patient. However, it is an extremely rare event when a MFH occurs primarily in the diaphragm of a young people. A 25-year-old woman visited our hospital complaining of right chest pain. The chest X-ray showed a diaphragmatic mass. An exploratory thoracotomic biopsy revealed a primary MFH of the diaphragm. The patient was treated with combined chemotherapy consisting of ifosfamide and doxorubicin. A partial response was seen after 6 cycles of chemotherapy. However, she died of brain metastasis 12 months after the diagnosis.

Keyword

Fibrous Histiocytoma; Diaphragm

MeSH Terms

Adult
Aged
Biopsy
Brain
Chest Pain
Diagnosis
Diaphragm*
Doxorubicin
Drug Therapy
Extremities
Female
Head
Histiocytoma, Benign Fibrous
Histiocytoma, Malignant Fibrous*
Humans
Ifosfamide
Neck
Neoplasm Metastasis
Sarcoma
Thorax
Doxorubicin
Ifosfamide
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