Balaji S M
Balaji Dental and Craniofacial Hospital, 30, K.B. Dasan Road, Teynampet, Chennai, 600018 India.
J Maxillofac Oral Surg. 2010 Sep;9(3):292-6. doi: 10.1007/s12663-010-0067-y. Epub 2010 Nov 20.
Fibrous histiocytoma is a tumor composed of a mixture of fibroblastic and histiocytic cells. These lesions most often arise on the skin, but may rarely occur in soft deep tissues. The diagnosis of FH may be clinically difficult when the lesion is located in the deep tissues, and is frequently confirmed after local excision. The most important diagnostic necessity is the separation of this tumor from aggressive forms of fibrohistiocytic neoplasms. We present a unique case of malignant fibrous histiocytoma developing in left buccal mucosa very near to the surgical margin from which a benign fibrous histiocytoma of the mandible was excised 3 years earlier in a 31 year old female. Clinical and histopathological evidence were not sufficient to establish link between these two processes. This article aims to describe the case and discuss the findings.
纤维组织细胞瘤是一种由成纤维细胞和组织细胞混合组成的肿瘤。这些病变最常出现在皮肤上,但很少发生于深部软组织。当病变位于深部组织时,纤维组织细胞瘤的诊断在临床上可能会很困难,并且通常在局部切除后才能确诊。最重要的诊断要点是将这种肿瘤与侵袭性纤维组织细胞肿瘤区分开来。我们报告了一例独特的病例,一名31岁女性,其左颊黏膜发生了恶性纤维组织细胞瘤,该部位非常靠近3年前切除下颌骨良性纤维组织细胞瘤的手术切缘。临床和组织病理学证据不足以证实这两个病变之间存在关联。本文旨在描述该病例并讨论相关发现。