From the Department of Neurosurgery (Yang, Zheng), Department of Pathology (Zhu, Chen), Huashan Hospital, Fudan University, Shanghai, China.
Neurosciences (Riyadh). 2024 Jul;29(3):201-206. doi: 10.17712/nsj.2024.3.202300116.
Benign fibrous histiocytoma (BFH) within the intracerebral region is remarkably rare. Our report details 2 cases of unusual BFH instances that exhibit no adhesion to the dura mater or cerebral falx, accompanied by a comprehensive literature review. While magnetic resonance imaging demonstrates specific characteristics for BFH, it does not readily differentiate BFH from more common brain neoplasms like gliomas and metastatic tumors. The definitive diagnosis of BFH depends primarily on histopathological and immunohistochemical examinations. Total surgical resection is considered an efficacious therapeutic approach, emphasizing the necessity for prolonged postoperative surveillance to detect any potential tumor recurrence or metastasis.
颅内良性纤维组织细胞瘤(BFH)极为罕见。我们报告了 2 例不与硬脑膜或大脑镰粘连的不典型 BFH 病例,并进行了全面的文献复习。磁共振成像(MRI)显示了 BFH 的特定特征,但不易将其与更常见的脑肿瘤如神经胶质瘤和转移性肿瘤区分开来。BFH 的明确诊断主要取决于组织病理学和免疫组织化学检查。全切除手术被认为是一种有效的治疗方法,强调需要进行长期的术后监测,以发现任何潜在的肿瘤复发或转移。