Adamski H, Le Gall F, Coindre J M, Kerbrat P, Chevrant-Breton J
Department of Dermatology, Hôpital Pontchaillou, rue H.-Le Guilloux, 35033 Rennes Cedex, France.
Eur J Dermatol. 1998 Mar;8(2):122-4.
Atypical ("pseudosarcomatous"), cutaneous, fibrous histiocytoma is a rare connective tissue tumor arising on the trunk and limbs in young adults. Its histological diagnosis is difficult. We report the case of a 25-year-old woman who presented a nodule on her left leg. Two years after an incomplete excision, she developed a large local recurrence. Additional radiotherapy, after total reexcision was performed. This treatment was successful and no further recurrence occurred. Clinicopathological features of atypical ("pseudosarcomatous"), cutaneous, fibrous histiocytoma are reviewed. Differential diagnoses, including atypical fibroxanthoma, angiomatoid fibrous malignant histiocytoma and aneurysmal fibrous histiocytoma are discussed.
非典型（“假肉瘤样”）皮肤纤维组织细胞瘤是一种罕见的结缔组织肿瘤，发生于年轻成年人的躯干和四肢。其组织学诊断困难。我们报告一例25岁女性，其左腿出现一个结节。不完全切除两年后，出现了较大的局部复发。在进行完全再次切除后，追加了放疗。该治疗成功，未再复发。本文回顾了非典型（“假肉瘤样”）皮肤纤维组织细胞瘤的临床病理特征。讨论了鉴别诊断，包括非典型纤维黄色瘤、血管瘤样纤维恶性组织细胞瘤和动脉瘤样纤维组织细胞瘤。
