Dyck P
Acta Neurochir (Wien). 1987;86(1-2):61-4. doi: 10.1007/BF01419506.
Malignant fibrous histiocytoma only infrequently arises from structures of the head and neck. When it does, it most often originates in facial structures, particularly the maxilla. This case report details a malignant fibrous histiocytoma arising from the pericranium, and presenting clinically as a large indurated frontal calvarial mass. A CT scan showed its origin to be from the pericranium and demonstrated its intracranial extension. Radical excision presented a surgical challenge because of the extensiveness of the lesion. Yet, combined with post-operative teletherapy, a favourable outcome was obtained.
恶性纤维组织细胞瘤很少起源于头颈部结构。当其发生时,最常起源于面部结构,尤其是上颌骨。本病例报告详细描述了一例起源于颅骨膜的恶性纤维组织细胞瘤,临床上表现为额部颅骨的巨大硬结性肿块。CT扫描显示其起源于颅骨膜,并显示了其颅内扩展情况。由于病变范围广泛,根治性切除带来了手术挑战。然而,结合术后远距离放疗,获得了良好的结果。