Korean J Thorac Cardiovasc Surg.  2000 Apr;33(4):333-337.

Malignant Fibrous Histocytoma Originating from the Chest Wall

• Lee CB
• Jung TY
• Hahm SY
• Kim H
• Jung WS
• Kim YH
• Kang JH
• Jee HO
• Park YW

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 10.5x8x4cm with a 3x3cm 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.

Keyword

Neoplasm; Thorax neoplasm; histicytoma

MeSH Terms

Abdominal Cavity
Adult
Aged, 80 and over
Anesthesia, Local
Biopsy
Extremities
Humans
Neoplasm Metastasis
Recurrence
Sarcoma
Skin
Thigh
Thoracic Wall*
Thorax*
Transplants