Tuberc Respir Dis.  2014 Jun;76(6):289-291.

Primary Malignant Fibrous Histiocytoma of the Chest Wall Misdiagnosed as Traumatic Hemothorax

Affiliations
  • 1Department of Internal Medicine, Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, Korea. kshryj@wonkwang.ac.kr
  • 2Department of Cardiothoracic Surgery, Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, Korea.
  • 3Department of Pathology, Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, Korea.

Abstract

Malignant fibrous histiocytoma (MFH), a type of sarcoma, is a malignant neoplasm with uncertain origins that arise from both the soft tissues and the bone. The occurrence of MFH on the chest wall is extremely rare. We hereby report a case of a 72-year-old woman who was incidentally detected with MFH after a traffic accident.

Keyword

Histiocytoma, Malignant Fibrous; Thoracic Wall; Hemothorax

MeSH Terms

Accidents, Traffic
Aged
Female
Hemothorax*
Histiocytoma, Malignant Fibrous*
Humans
Sarcoma
Thoracic Wall*

Figure

  • Figure 1 Chest radiographs showing large amounts of pleural effusion and a fracture in the seventh right rib.

  • Figure 2 (A) Chest radiograph showing the remaining pleural effusion in the right thoracic cavity 7 days after performing the closed thoracostomy. (B) Chest computed tomography scans showing remaining pleural effusions after closed thoracostomy.

  • Figure 3 A very large mass protruded into the thorax, which invaded and damaged the encountered rib.

  • Figure 4 The tumor cells show remarkable cytological pleomorphisms with frequent mitoses (arrows) (A, H&E stain, ×400) and these cells express vimentin (B, ×400).


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