Department of Otolaryngology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Am J Otolaryngol. 2013 Mar-Apr;34(2):154-7. doi: 10.1016/j.amjoto.2012.09.008. Epub 2012 Dec 4.
Benign fibrous histiocytoma (FH) is a benign neoplasm of a mixture of fibroblastic and histiocytic cells. The tumor occurs most frequently on the skin of the extremities but rarely in deep soft tissues of the head and neck. The diagnosis of benign FH may be clinically difficult, and is frequently confirmed after excision. The most important diagnostic distinction is the separation of this tumor from malignant FH. A 22-year-old male presented with a painless swelling mass on the left cheek. Detailed clinical and laboratory examinations were performed. The patient received angiography with embolization and underwent an intraoral excision of the mass under general anesthesia with primary closure. The histopathology revealed a benign FH. The complete image survey and appropriate treatment of benign FH of the cheek are emphasized.
良性纤维组织细胞瘤（FH）是一种由成纤维细胞和组织细胞混合组成的良性肿瘤。该肿瘤最常发生于四肢皮肤，但很少发生于头颈部深部软组织。良性 FH 的临床诊断可能较为困难，通常需要在切除后才能确诊。最重要的诊断区别是将该肿瘤与恶性 FH 区分开来。一名 22 岁男性因左侧脸颊无痛性肿胀就诊。进行了详细的临床和实验室检查。患者接受了血管造影栓塞术，并在全身麻醉下经口腔切除肿块，行一期缝合。组织病理学显示为良性 FH。强调了对颊部良性 FH 的全面影像学检查和适当治疗。
